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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020712
Report Date: 03/02/2022
Date Signed: 03/02/2022 03:46:07 PM

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
02/23/2022 and conducted by Evaluator Fabiola Vasquez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220223154755
FACILITY NAME:JOYS CHILDRENS LEARNING CENTER INCFACILITY NUMBER:
198020712
ADMINISTRATOR:CYPRIAN, JOY & CRYSTALFACILITY TYPE:
830
ADDRESS:13334 RAMONA BLVD. UNIT 1TELEPHONE:
(626) 675-8223
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY:24CENSUS: 9DATE:
03/02/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Crystal Cyprian, DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Daycare child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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On 03/02/22 LPA Fabiola Vasquez conducted an unannounced 10- Day complaint inspection. LPA meet with Selina Villanueva, Office Manager-Superviso who guided LPA on tour of the facility there were 9 children present with 8 staff. Shortly after Crystal Cyprian, Director arrived and continued with the inspection. LPA explained the purpose of the visit is to investigate the above allegation.

Throughout the course of the investigation, interviews were conducted with Reporting Party (RP), Director, Staff (S) S1, S2, S3. Children Roster and an ouch report were obtained. Documentation in the form of a Sign in and Sign out sheet were reviewed.

Pertaining to the allegation that “Daycare child sustained unexplained injuries while in care” This allegation refers to the child sustained injuries on the nose and cheek during child care hours.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Fabiola Vasquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2022
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 3
Control Number 33-CC-20220223154755
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: JOYS CHILDRENS LEARNING CENTER INC
FACILITY NUMBER: 198020712
VISIT DATE: 03/02/2022
NARRATIVE
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Based on statements disclosed during interviews with Director, S2 and S3 there were conflicting statements that C2 was being shadowed, another statement was that C2 did not need to be shadowed. Other statements were made that S2 was occupied changing a diaper while S3 was with 2 other children. Both S2 and S3 observed when C2 had the arms around C1 on the table. There were no clear communication or special arrangements to prevent from C1 being injured.

This agency has investigated the complaint alleging that “Daycare child sustained unexplained injuries while in care”.

Based upon the evidence as listed above, the preponderance of evidence standard has been met and 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.

LIC 9224 ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS was provided.

A Notice of Site Visit was provided to director.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Director Crystal Cyprian this report along with Appeal Rights (LIC 9058) were provided to Director.

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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Fabiola Vasquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20220223154755
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: JOYS CHILDRENS LEARNING CENTER INC
FACILITY NUMBER: 198020712
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/08/2022
Section Cited
CCR
101223
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a)The licensee shall ensure that each child is accorded the following personal rights: (1)To be accorded dignity in his/her personal relationships with staff and other persons.(2)To be accorded safe, healthful and comfortable accommodations ***
This requirement is not met as evidenced by:

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Per director, we are communicating with C2 parents, regarding his behavior on what he is watching at home. We are talking to him that don't hurt our friend. We have been training implement more safety protocals.

POC: Train staff on expectationa and safety protocals Will submit proor to LPA by Due: 02/09/22.
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Based on statements disclosed during interviews with Director, S2 and S3 there were conflicting statements that C2 was being shadowed, another statement was that C2 did not need to be shadowed. Other statements were made that S2 was occupied changing a diaper while S3 was
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with 2 other children. Both S2 and S3 observed when C2 had the arms around C1 on the table. There was no clear communication or special arrangements to prevent from C1 being injured.
This poses an immediate risk to the health and safety 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: Fabiola Vasquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3