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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198014650
Report Date: 01/28/2022
Date Signed: 01/28/2022 07:12:37 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/18/2021 and conducted by Evaluator Betty Bell
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20211118115034
FACILITY NAME:RANCH HILLS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198014650
ADMINISTRATOR:MR. KYM ALLENFACILITY TYPE:
850
ADDRESS:2 TRABUCO PLACETELEPHONE:
(909) 397-4912
CITY:POMONASTATE: CAZIP CODE:
91766
CAPACITY:24CENSUS: 0DATE:
01/28/2022
UNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Facilities and Licensing Planner Kym AllenTIME COMPLETED:
07:30 AM
ALLEGATION(S):
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Day care provider grabbed and hit child in care.
INVESTIGATION FINDINGS:
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An unannounced, in-person, follow-up Complaint inspection was conducted on 01/28/22 by Licensing Program Analyst (LPA) Emiko Bell. The purpose of this inspection was to provide the findings of the Complaint investigation. The purpose of the inspection was announced to Mr. Allen.

Census: Zero.

Throughout the course of the investigation, interviews were conducted with the Reporting Party, four staff, four adults and seven children; documentation in the form of the “Suspected Child Abuse Report,” the Child Abuse Hotline Referral, the Pomona Police Department “Incident/Arrest Report,” the “Unusual incident/Injury Report,” the notes of Staff #3 (S3), the notes of Adult #3 (A3), two text message exchanges between A3 and Adult #4 (A4), and the “After Visit Summary” from a doctor’s visit were obtained and seven photos were taken.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Betty Bell
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 33-CC-20211118115034
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: RANCH HILLS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198014650
VISIT DATE: 01/28/2022
NARRATIVE
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-Pertaining to the allegation that “Day care provider grabbed and hit child in care”:

On November 17, 2021, during outside play time for the PM session children, an incident occurred between Child #1 (C1) and Staff #5 (S5). The incident which occurred was: there was a group of approximately three children with Staff #4 (S4) by the alligator on one side of the playground and a group of approximately nine children with S5 on the other side of the playground, on the blacktop by the drinking fountain where the hopscotch drawings are on the ground. Suddenly, S4 heard S5 scream/yell/shout C1’s name, causing S4 to look in their direction. When S4 looked, S4 saw S5 and C1 facing each other and one of the hands of S5 was gripping the neck of C1 while the other hand of S5 was up in the air, ready to strike C1. S4 then shouted the name of S5 and asked, “What are you doing?” Simultaneously, S4 saw the open hand of S5 come down and strike C1 on the neck (apparently missing the face of C1 due to being interrupted by S4 calling the name of S5). S4 then went to that side of the playground and took the nine children inside of the classroom. According to S4, C1 was crying, stating that S5 had hit them. As S4 observed a little bump swelling on the neck of C1, S4 gave C1 an ice pack and phoned S3, who is the supervisor of S4 and S5, to inform S3 of the incident.

S3, the supervisor of S3, Adults 1-4 and officers from the Pomona Police Department eventually all arrived at the site.

Of the seven children interviewed, four made disclosures. C6 revealed that C1 and S5 do not like each other. C3 disclosed that they witnessed the incident and that C1 had thrown water on S5. C7 said that they witnessed S5 hit C1. C1 recalled that S5 had grabbed them by their neck

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Betty Bell
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20211118115034
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: RANCH HILLS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198014650
VISIT DATE: 01/28/2022
NARRATIVE
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S5 stated that they pushed C1 away from them by the shoulder after C1 had filled a plastic traffic cone with water and struck S5 in the face with it. A small scratch was observed on the face of S5 immediately after the incident.

Regardless whether S5 pushed C1 away from them, only grabbed C1 by the neck or grabbed C1 by the neck and hit C1 on the neck, as staff are not supposed to inflict any sort of corporal punishment upon daycare children, based upon the evidence as presented above, the allegation that "Day care provider grabbed and hit child in care” has been determined to be true.

This agency has investigated the complaint alleging that there was a violation of Title 22, Division 12, Chapter 1, Article 6, Section 101223 "Personal Rights." The complaint alleged that “Day care provider grabbed and hit child in care.”

Based upon the evidence as presented above, the allegation has been determined to be Substantiated. A finding of Substantiated means that the preponderance of evidence standard has been met. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Section 101223 "Personal Rights" is being cited on the attached LIC 9099D.

LPA Bell informed Facilities and Licensing Planner Allen that this report dated 01/28/22 documents one Type A citation. Type A citation(s) which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Bell informed Facilities and Licensing Planner Allen to provide a copy of this licensing report dated 01/28/22 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Betty Bell
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20211118115034
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: RANCH HILLS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198014650
VISIT DATE: 01/28/2022
NARRATIVE
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next day the children are in care, and to any newly-enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Facilities and Licensing Planner Kym Allen.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Betty Bell
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20211118115034
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: RANCH HILLS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198014650
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/01/2022
Section Cited
CCR
101223(a)(3)
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PERSONAL RIGHTS
The licensee shall ensure that each child is accorded the following personal rights:
To be free from corporal or unusual punishment, infliction of pain...

-This requirement is not met as evidenced by:
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S5 is currently on Administrative Leave. PUSD will inform the Department once further action has been decided upon.
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On 11/17/21, S4 observed one of the hands of S5 gripping the neck of C1 and then S5 proceeding to hit the neck of C1 with their other open hand. *This poses an immediate risk to the health, safety, or personal rights of children in care.*
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Betty Bell
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC9099 (FAS) - (06/04)
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