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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270620
Report Date: 10/31/2022
Date Signed: 10/31/2022 12:43:44 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, 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
10/03/2022 and conducted by Evaluator Nguyen K Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20221003155311
FACILITY NAME:ADVENTURES IN LEARNING IIFACILITY NUMBER:
304270620
ADMINISTRATOR:MENDOZA, SUSANAFACILITY TYPE:
850
ADDRESS:1111 EL CAMINO REALTELEPHONE:
(714) 730-5458
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:79CENSUS: 29DATE:
10/31/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Susana MendozaTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility has insects.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nguyen Tran and LPA Lucero conducted an unannounced complaint investigation to deliver the complaint findings. LPA met with Director, Susana Mendoza. Census was taken in individual classrooms. The overall census observed was 4 staff and 29 children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 10/03/2022, Regional Office received a complaint with allegation regarding facility has insects.
During the course of investigation, LPA Tran inspected the facility on 10/04/2022, 10/11/2022 and on 10/31/22 and interviewed 9 staff on 10/04/2022.
During the inspection on 10/04/2022 and 10/31/2022, LPA Tran did not observe any sign of facility having insects. During inspection on 10/11/2022, LPA Tran and LPA Castanon observed one alive cockroach under the sink in Blue Bird classroom and one dead cockroach under the cabinet in the Red Robin classroom. The Director was made aware and acknowledged the cockroaches in the 2 classrooms. (Continue next page)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2022
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 5
Control Number 06-CC-20221003155311
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: ADVENTURES IN LEARNING II
FACILITY NUMBER: 304270620
VISIT DATE: 10/31/2022
NARRATIVE
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(Page 2 of Report)

During the interviews, 3 out of 9 interviewed staff stated that they have seen insects in the facility before, in the children’s restrooms and in the hallway. They have voiced their concerns with the management team.

Based on the information gathered from LPAs' observation of the cockroaches in the classrooms on 10/11/2022, and interviews conducted with 9 staff on 10/04/2022, the preponderance of evidence standard has been met, therefore the above allegation facility has insects is substantiated. California Code of Regulations, Title 22 Division 12 Chapter 1, Section 101238(a)(1) Buildings and Grounds is being cited on the attached LIC9099D.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights and deficiency were explained. A copy of appeal rights (LIC 9058 03/22) was provided. First level appeal is to Regional Manager, address is above on the report.

(end of Report)
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 06-CC-20221003155311
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: ADVENTURES IN LEARNING II
FACILITY NUMBER: 304270620
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/31/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/14/2022
Section Cited
CCR
101238(a)(1)
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101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary... to ensure the safety and well-being of children...(1) The licensee shall take measures to keep the center free... of insects.
This requirement is not met as evidence by:
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Director states that she will submit proof of action taken to ensure the facility is sanitized and free of insects to LPA Tran by due date.
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Based on observation, LPA Tran and LPA Castanon observed one alive cockroach under the sink in Blue Bird classroom and one dead cockroach under the cabinet in the Red Robin classroom. The Director was made aware and acknowledged the cockroaches in the 2 classrooms.
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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: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2022
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
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
10/03/2022 and conducted by Evaluator Nguyen K Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20221003155311

FACILITY NAME:ADVENTURES IN LEARNING IIFACILITY NUMBER:
304270620
ADMINISTRATOR:MENDOZA, SUSANAFACILITY TYPE:
850
ADDRESS:1111 EL CAMINO REALTELEPHONE:
(714) 730-5458
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:79CENSUS: 29DATE:
10/31/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Susana MendozaTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff not taking day-care children to the bathroom in a timely manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nguyen Tran and Lucero conducted an unannounced complaint investigation to deliver the complaint findings. LPA met with Director, Susana Mendoza. Census was taken in individual classrooms. The overall census observed was 4 staff and 29 children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 10/03/2022, Regional Office received a complaint with allegation regarding Staff not taking day-care children to the bathroom in a timely manner.

During the course of investigation, LPA Tran interviewed 9 staff at the facility on 10/04/2022, and 7 children on 10/31/2022.
(Continue next page)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2022
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 06-CC-20221003155311
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: ADVENTURES IN LEARNING II
FACILITY NUMBER: 304270620
VISIT DATE: 10/31/2022
NARRATIVE
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(Page 2 of Report)

During the interviews, all interviewed staff provided consistent statements about if any child asks to go to the restroom, staff will use walkie-talkie to inform the Director or floater to come and assist taking the child to the restroom. All 9 interviewed staff denied that they have to wait for too long before someone arrive to assist with taking the children to the restroom (usually 1-2 minutes). During interviews with the children, 2 out of 7 children were qualified for the interview. All 2 interviewed children said they would tell the teacher that they need to go to the restroom as needed and the teacher will take them to the restroom. Both interviewed children denied that they have witnessed anyone asked to go to the restroom and was not taken to the restroom right the way.

Based on the information gathered from LPA's interviews conducted with 9 staff on 10/04/2022 and with 2 children on 10/31/2022, there is insufficient evidence to corroborate the allegation that Staff not taking day-care children to the bathroom in a timely manner, therefore, the allegation regarding Staff not taking day-care children to the bathroom in a timely manner 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) and their signature on this form acknowledges receipt of these rights.” This report LIC 9099 was provided to the Director Susana Mendoza. First level appeal is to Regional Manager, address is above on the report.

(End of Report)
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5