300606148-2-1-2022-06-CC-THOO-CBB79U-20220203202830

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300606148
Report Date: 02/01/2022
Date Signed: 02/01/2022 02:52:53 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

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 Stacy Torrence

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20211118143631

FACILITY NAME:	INT'L CHRISTIAN MONTESSORI ACADEMY OF ORANGE		FACILITY NUMBER:	300606148
ADMINISTRATOR:	EMBRADOR, ALLISON		FACILITY TYPE:	850
ADDRESS:	1539 MAYFAIR		TELEPHONE:	(714) 997-8242
CITY:	ORANGE	STATE: CA	ZIP CODE:	92867
CAPACITY:	60	CENSUS: 23	DATE:	02/01/2022
		UNANNOUNCED	TIME BEGAN:	01:51 PM
MET WITH:	Allison Embrador, Director		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Daycare child sustained bruises while in care

INVESTIGATION FINDINGS:

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On 02/01/2022, Licensing Program Analyst (LPA) Stacy Torrence conducted an in-person inspection to deliver the findings regarding the above complaint allegation. LPA Torrence met with Director Allison Embrador. The COVID-19 Emergency Response questionnaire were asked. There was a total of 23 preschool children present, with four staff supervising. A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 11/18/2021, Licensing office received a complaint alleging the following: daycare child sustained bruises while in care.

During the course of the investigation, LPA Nguyen conducted a phone interview with Reporting Party (RP). RP stated while child was being changed, bruises were noticed on child’s right arm.

During the course of the investigation, LPA Nguyen conducted in-person interviews with three staff members, three children, and six parents.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

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 06-CC-20211118143631

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: INT'L CHRISTIAN MONTESSORI ACADEMY OF ORANGE	FACILITY NUMBER: 300606148
	VISIT DATE: 02/01/2022

NARRATIVE

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During the staff interview, there was no disclosure made by any of the staff members interviewed. All interviewed staff denied handling any children in a rough manner or witnessing any staff handling children in that manner. Staff 1 (S1) disclosed on 11/15/2021 Child 1 (C1)’s mother brought up a concern about C1 had a bruise on the arm and C1 might have gotten hurt at the school by the teacher. S1 stated C1 was last at school on 11/10/2021 which was 5 days prior. S1 also disclosed C1 is very expressive and would tell the teachers if C1 got hurt. S2 also disclosed on 11/15/21, C1’s mother asked S2 what happened to C1’s arm as C1 had a bruise. S2 stated C1 had never expressed to S2 that C1 was hurt. When C1 was last at school on 11/10/2021, grandmother picked C1’s up and C1 wore a short sleeve shirt. S2 did not see any bruise on C1’s arm or heard C1 cried during 11/10/2021. S2 also stated why didn’t the parent expressed the concern right away but waited 5 days later to learn about it.

LPA attempted to interview 4 children but only 1 child qualified for an interview. No disclosure was made by the child.

LPA Nguyen conducted interviews with four adults.
Adult 1 (A1) disclosed the following: on 11/10/2021, A1 picked C1 up from the school. A1 did not remember when did A1 notice the bruise on C1’s arm. It could be in the car while driving C1 home or it could be at home. C1 told A1 C1 jumped off the toy box at school and got hurt. A1 did not ask the teacher about it because C1 is a playful child and kids get bruises all the time so it’s not a big deal. A1 also stated A1 did not think C1 got hurt at school because the teachers are nice and it’s a good and safe school. If it’s not a safe school, A1 wouldn’t enroll C1 in this school.

A2 disclosed the following: A2 did not see the bruise; however, A2 asked C1 what happened and C1 stated C1 jumped off the toy box at school and got hurt. When C1 went to visit C1's father, C1 told the father that the teachers grabbed C1 when C1 broke the toys. C1 gave different answers to different people so A2 really not sure how it happened or where it happened. It could happen at the school or at home.

A3 disclosed the following: C1’s mother called A3 over the video call and A3 could tell C1 was hurting every time C1’s mother touched the bruise. C1 told A3 it was the teachers that did it to C1 because C1 broke the glass diamond.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20211118143631

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: INT'L CHRISTIAN MONTESSORI ACADEMY OF ORANGE	FACILITY NUMBER: 300606148
	VISIT DATE: 02/01/2022

NARRATIVE

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A4 disclosed the following: On 11/10/21, A1 told A4 about the bruise. A1 noticed the bruise on C1’s right arm when A1 changed C1’s clothes. C1 told A1 C1 jumped off from the toy box at school and got hurt. A4 asked C1 about the bruise and C1 just said “Nothing”. On Friday 11/12/21 when C1 visited C1’s father, C1 told the father the teachers at school grabbed C1’s arm because C1 threw a tantrum causing a bruise.

LPA Nguyen attempted to interview eight parents by phone and was able to interview six parents. Interviewed parents had no issues or concerns about the facility.

Based on the information gathered from LPA' interviews, reviewing pictures, and records, there is insufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the daycare child sustained bruises while in care, did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. “The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.” This report LIC 9099 was provided to the director. First level appeal is to Regional Manager, address is above on the report.

End of Report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

LIC9099 (FAS) - (06/04)

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