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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304311836
Report Date: 03/11/2025
Date Signed: 03/11/2025 01:10:03 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
11/21/2024 and conducted by Evaluator Aiddee Nunez
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20241121141841
FACILITY NAME:ALDANA, MARIAFACILITY NUMBER:
304311836
ADMINISTRATOR:ALDANA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 458-7780
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY:14CENSUS: 7DATE:
03/11/2025
UNANNOUNCEDTIME BEGAN:
12:07 PM
MET WITH:Licensee, Maria Aldana TIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Day care child sustained unexplained fracture while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nunez conducted an unannounced complaint inspection for the purpose of delivering complaint findings for the complaint investigation that was conducted by Investigations Branch (IB) Investigator John Rante. Upon arrival, LPA met with licensee, Maria Aldana who guided LPA on a tour of the facility and LPA conducted a census. LPA observed licensee caring for 1 infant and 6 preschool age children in the childcare area.
A review of staff 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 11/21/2024, the Department received a complaint alleging a day care child sustained unexplained fracture while in care. Reporting Party (RP) stated child#1 (C1) was picked up by the Parent#1 (P1) and approximately one hour after picking up, C1 was noted to have a swollen arm. The P1 took C1 to get medical attention and it was later discovered C1 had suffered a fractured arm. Neither the day care nor parent has provided an explanation as to how C1 was injured. Page 1 of 3

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
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 4
Control Number 06-CC-20241121141841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ALDANA, MARIA
FACILITY NUMBER: 304311836
VISIT DATE: 03/11/2025
NARRATIVE
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During the investigation, IB Investigator Rante interviewed RP, 3 staff members, 1 child, 2 adults, 4 parents, reviewed medical record from CHOC, reviewed Orange County Sheriff’s Department call report, and reviewed reports from Child Welfare Services (CWS).

During the interviews, Staff #1 (S1) stated the following: On 11/05/2024, there were four children in care, including C1 and Staff #2 (S2) was present with S1 as well. There is no video surveillance inside the facility. S1 stated None of the children are allowed upstairs and none of the children attacked or pushed C1 to the ground. and either S1 or S2 were with the children all day downstairs. C1 arrived at the facility at approximately 0830 hours and was picked at approximately 1810hours. C1 did not cry that day and appeared to be happy to be picked up to go home. S1 did not observe any injuries on C1. As C1 was new to the daycare, S1 or S2 held C1 the entire day because if C1 was not held, C1 would cry. S1 denies physically abusing C1 and stated “…We’re here to take care of children.”

S2 stated the following: On 11/5/2024, C1 was dropped at approximately at 0900 hours and picked up at approximately 1810 hours. S2 did not see C1 fall. The children are not allowed on the couch or the stairs and none of the other children attached C1. S2 also denies physically abusing C1.

Parent #1 (P1) stated when P1 dropped off C1 at the daycare in the morning, there were no injuries. P1 picked C1 up at the day care at approximate 1800 hours and did not see anything unusual. When P1 was about to give C1 a shower at home, P1 noticed C1’s right arm appeared to be swollen. P1 reached out to S1 and S1 couldn’t tell P1 anything. P1 then took C1 to the Emergency Room and that was when the X-rays showed there was a fracture. P1 stated accidents do happen and S1 is a nice person. P1 denied C1’s injury occurred at home.

IB Investigator Rante reviewed C1’s medical records record from CHOC which noted C1 was initially seen for right elbow pain and swelling, X-rays revealed a right supracondylar fracture. The clinical impression notes in part, “…non-accidental trauma given unknown mechanism of injury.”

IB Investigator Rante reviewed reports from Child Welfare Services (CWS) and the social worker concluded the allegation of physical abuse to C1 was determined to be inconclusive.



Page 2 of 3
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20241121141841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ALDANA, MARIA
FACILITY NUMBER: 304311836
VISIT DATE: 03/11/2025
NARRATIVE
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The IB investigator attempted to interview 1 child, but the child did not qualify for an interview. The other 3 daycare children were too young for an interview.

IB Investigator Rante interviewed the parents of the daycare children that were present on 11/05/2024. None of the parents interviewed revealed anything concerning regarding the care their children received at the daycare.

Based on information gather from IB investigator’s interviews, medical report, and CWS report, the preponderance of (1) Day care child sustained unexplained fracture while in care has not been met. Although the allegation 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 allegations is UNSUBSTANTIATED.

During the course of investigation, it was determined that licensee did not have a roster available by the request of the IB Investigator. Although the licensee’s daughter provided a roster to the IB investigator several hours later; the Health and Safety Code states, “This roster shall be available to the licensing agency upon request.” Also, the licensee became aware of the incident on 11/21/2024 and failed to report the incident by telephone within 24 hours to licensing office and submit the Unusual Incent/Injury Report (LIC 624B) within 7 days. California Code of Regulations, Title 22, Division 6, Health and Safety Code Section 1596.841 Current roster of children provided care in facility required and 1597.467(a)(b)(1)(2) Injury or acts of violence reporting requirements are being cited on the attached LIC9099D. Please refer to attached 9099D for documentation of deficiencies.

Exit interview was conducted with Licensee, Maria Aldana. The Notice of Site Visit was posted. Licensee was informed that the Notice of Site Visit must be posted for 30 consecutive days. Licensee was provided with a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20241121141841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ALDANA, MARIA
FACILITY NUMBER: 304311836
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/18/2025
Section Cited
HSC
1596.841
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This roster shall be available to the licensing agency upon request.

This requirement was not met as evidenced by:

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The licensee will provide a current roster to the LPA by the POC due date.
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Based on record review, it was determined that licensee did not have a roster available upon IB Investigator request. On 3/11/25, LPA reviewed the roster and the roster did not have the name's of the children present. This poses a potential risk to the health and safety to the children in care.
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Type B
03/11/2025
Section Cited
HSC
1597.467(a)(b)(1)(2)
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 (b)(1) A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of a family day care of any of the following events
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The licensee understand she needs to report any Unusual Incident to the licensing office within 24 hours and submit the LIC 624B within 7 days. LPA provided a copy of the LIC 624B to the licensee. She will provide a written statement by the POC due date.
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Based on record reviews it was determined that licensee became aware of the incident on 11/21/2024 and failed to report the incident within 24 hours to licensing office and did not submit the LIC 624B within 7 days. This poses a potential risk to the health and safety to the 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: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4