198020972-10-10-2022-33-CC-CGUA-CLPQFJ-20221201110757

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198020972
Report Date: 10/10/2022
Date Signed: 10/10/2022 04:54:51 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
09/29/2022 and conducted by Evaluator Seung Lee

COMPLAINT CONTROL NUMBER: 33-CC-20220929130933

FACILITY NAME:	BLOSSOM GARDEN LEARNING ACADEMY		FACILITY NUMBER:	198020972
ADMINISTRATOR:	MEGHA SAHNI		FACILITY TYPE:	830
ADDRESS:	101 S. ATLANTIC BLVD		TELEPHONE:	(626) 627-2318
CITY:	ALHMABRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	10	CENSUS: 3	DATE:	10/10/2022
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Megha Sahni		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Daycare child sustained an injury due to lack of supervision.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with DIrector Megha Sahni.

During the course the of this investigation, LPA Lee conducted interviews, reviewed documents, and made obseravtions in regards to theabove alelgation

The complaint alleges that Child#1 sustained an injury due to lack of supervision. The Director denied this allegation and made no disclosure. The Director stated that the injury that was sustained by Child#1 was witnessed by staff members in the classroom. Child#1 sustained an injury while trying to remove her socks while sitting near a table per Director. The parent was contacted and given an ouch report by the facility as observed during a file review for Child#1.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2022

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-20220929130933

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: BLOSSOM GARDEN LEARNING ACADEMY	FACILITY NUMBER: 198020972
	VISIT DATE: 10/10/2022

NARRATIVE

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While the evidence obtained during the investigation does confirm that Child#1 did sustain an injury, there is a lack of evidence that the injury was caused by a lack of supervision from the staff. The documentation and interview with the Director states that the injury was caused by an accident that could not have prevented since it happened while the child was trying to remove her socks while sitting near a table. A child sustaining an injury does not mean that it occurred due to a lack of supervision. A child sustaining an injury on accident also does not mean it was unavoidable despite proper supervision. It is not clear based on the evidence obtained during the investigation that a lack of supervision caused Child#1 to sustain an injury.

Based upon the evidence as presented above, this agency has investigated the allegation that child sustained an injury due to lack of supervision. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is found to be unsubstantiated at this time.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Megha Sahni. Appeal rights discussed and explained.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2022

LIC9099 (FAS) - (06/04)

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