198018017-4-8-2024-33-CC-ACHO-D4FU6R-20240418151842

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198018017
Report Date: 04/08/2024
Date Signed: 04/08/2024 03:25:36 PM

Unsubstantiated

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
02/26/2024 and conducted by Evaluator Carolyn Tuba

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20240226123841

FACILITY NAME:	PEACE OF MIND PRESCHOOL		FACILITY NUMBER:	198018017
ADMINISTRATOR:	SIMONE JONES		FACILITY TYPE:	830
ADDRESS:	240-250 PARCELS STREET		TELEPHONE:	(909) 629-0600
CITY:	POMONA	STATE: CA	ZIP CODE:	91766
CAPACITY:	22	CENSUS: 0	DATE:	04/08/2024
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Yulanda Tate		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Day care child sustained unexplained injuries in care.

INVESTIGATION FINDINGS:

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On 4/8/2024, at 1:30 pm. Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced complaint inspection to deliver findings of the above allegation. A Covid risk assessment was conducted. LPA met with Administrator, Rhonda Anderson-Culton and a census of 0 children were taken. Licensee, Yulanda Tate arrived shortly to the facility at approximately 1:45 pm.

LPA conducted interviews and reviewed records on 3/6/2024. LPA attempted to conduct interviews with Reporting Party but was not able to reach them. Interviews were conducted with Parent #1, Licensee (L), Director (D). Child#1 (C1) was not interviewed due to being nonverbal because of their age.

Reporting Party alleged daycare child sustained unexplained injuries in care.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20240226123841

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: PEACE OF MIND PRESCHOOL	FACILITY NUMBER: 198018017
	VISIT DATE: 04/08/2024

NARRATIVE

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LPA interviewed Director who stated that the only thing he noticed when C1 arrived at the facility was a red mark on C1’s left cheek area and a few light scratch marks. Licensee who had picked up C1 from P1 recalled a red mark on C1’s cheek. Licensee stated that she conducts a well check before accepting children in their care. Licensee had questioned C1’s parent on 2/21/2024, and P1 stated that she had been hurt by another child, where C1 and P1 currently reside. LPA interviewed P1 who stated that child did not have any marks prior to attending daycare on 2/21/2024 and provided LPA photos of red marks of C1’s face. During the LPA’s investigation discovered that C1 did sustain an injury to the upper lip on 2/21/2024 at the facility, however facility did provide an injury report to P1 that C1 had bitten her upper lip during mealtime. Licensee and Director confirmed that injury report was given and provided a copy to the LPA. P1 confirmed receiving the report. There was an investigation conducted by the Pomona Police Department and the police report requested states that P1 disclosed that due to C1’s age it is possible that child may have injured herself or by another child while attending school. No other injuries were observed by the police officer investigating and they could not conclude that C1 had been physically abused so, the Police Officer has concluded their investigation. P1 disclosed in the police report that they did not seek out medical attention for C1.

Therefore, the allegation has been determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Notice of site visit was given to the licensee and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Yulanda Tate.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2024

LIC9099 (FAS) - (06/04)

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