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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198021260
Report Date: 02/09/2024
Date Signed: 02/09/2024 10:09:50 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 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
02/09/2024 and conducted by Evaluator Nolan Tcheng
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240209092654
FACILITY NAME:KIDDIE ACADEMY OF PASADENAFACILITY NUMBER:
198021260
ADMINISTRATOR:JENNINGS, CHRISTINEFACILITY TYPE:
850
ADDRESS:3400 E FOOTHILL BOULEVARDTELEPHONE:
(626) 606-2800
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY:72CENSUS: 26DATE:
02/09/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Christine Jennings - DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Nolan Tcheng and Saul Valenzuela conducted an unannounced subsequent inspection of a complaint investigation for the purpose of delivering complaint findings. The complaint investigation was investigated by Community Care Licensing Investigation Branch (IB) investigator Veronica Padilla. Upon arrival at 8:30am, LPAs were met by Director Christine Jennings, to whom the purpose of the inspection was explained. Tour was provided. There were children present during the inspection.

Census was taken. There were 26 children with 5 staff members.

IB investigation consisted of interviews conducted with Director as well as persons related to the incident. Review of video footage, medical reports, unusual incident reports, daily schedules, staff schedules/roster, contact information, and staff behavior management policy were reviewed.
REPORT CONTINUES PAGE 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
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-20240209092654
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDDIE ACADEMY OF PASADENA
FACILITY NUMBER: 198021260
VISIT DATE: 02/09/2024
NARRATIVE
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Complainant indicates that staff physically assaulted a day care child, resulting in injury requiring medical.

Based on investigation from IB, Staff #2 did not have intention of hurting Child #1 during the incident that took place.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

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

Exit interview conducted and report was reviewed with the Director Christine Jennings, at 10:20am. Copy of report provided.

END OF REPORT PAGE 2 of 2

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 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
02/09/2024 and conducted by Evaluator Nolan Tcheng
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240209092654

FACILITY NAME:KIDDIE ACADEMY OF PASADENAFACILITY NUMBER:
198021260
ADMINISTRATOR:JENNINGS, CHRISTINEFACILITY TYPE:
850
ADDRESS:3400 E FOOTHILL BOULEVARDTELEPHONE:
(626) 606-2800
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY:72CENSUS: 26DATE:
02/09/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Christine Jennings - DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff was neglecftul in their care for day care child
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Nolan Tcheng and Saul Valenzuela conducted an unannounced subsequent inspection of a complaint investigation for the purpose of delivering complaint findings. The complaint investigation was investigated by Community Care Licensing Investigation Branch (IB) investigator Veronica Padilla. Upon arrival at 8:30am, LPAs were met by Director Christine Jennings, to whom the purpose of the inspection was explained. Tour was provided. There were children present during the inspection.

Census was taken. There were 26 children with 5 staff members.

IB investigation consisted of interviews conducted with Director as well as persons related to the incident. Review of video footage, medical reports, unusual incident reports, daily schedules, staff schedules/roster, contact information, and staff behavior management policy were reviewed.
REPORT CONTINUES PAGE 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20240209092654
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDDIE ACADEMY OF PASADENA
FACILITY NUMBER: 198021260
VISIT DATE: 02/09/2024
NARRATIVE
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Based on information obtained during the IB investigation, Child #1 (C1) ran away from the rug area of the classroom. Staff #2 (S2) saw C1 running and got up to grab their left hand. S2 continued to hold C1’s hand, when C1 dropped to the floor, dragging them on the floor. S2 admitted to holding C1 higher the subsequent time they dropped to the floor. S2 disclosed that they grabbed C1’s hand hard but without malice. C1 has had a history of dropping their weight. This act of neglect from S2 in how they responded to C1, resulted in a dislocated elbow (Nursemaid Elbow).

Video footage reviewed confirmed disclosures and statements by Staff and persons interviewed during the investigation. During footage review, S2 was observed not noticing C1 fall to the floor, as they held their hand, unknowingly twisting C1’s arm.

This was a violation of the facility behavior management and supervision policy, by Staff #2. This neglectful action is being addressed as a deficiency.

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 Chapter 1 101229(a)), are being cited on the attached deficiencies page.

Upon receipt of this report, the Licensee shall post the Notice of Site visit and any licensing report documenting a type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee.



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

Exit interview conducted and report was reviewed with the Director Christine Jennings, at 10:20am. Copy of Report provided.

END OF REPORT PAGE 2 of 2

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20240209092654
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KIDDIE ACADEMY OF PASADENA
FACILITY NUMBER: 198021260
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/12/2024
Section Cited
CCR
101229(a)
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Responsibility of Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.

This requirement is not met as evidenced by:
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Per Director, there was a staff meeting for retraining onf nursemaid elbow. Meeting went over what happened and how to handle the situation. Separate meeting with Lead teachers were conducted, going over classroom management techniques. Director will send meeting agenda and staff
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Based on observation and interview, Licensee did not ensure that Child #1 (C1) was provided the appropriate care, resulting in Staff #2 unintentionally causing injury to C1, requiring medical. This was an immediate risk to the health, safety, and personal rights of children in care.
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signature form, noting attendance of meeting and completion of training. Staff member involved, has had employment terminated.
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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: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5