304312113-11-9-2022-06-CC-PMAA-CLDMBK-20221121082803

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304312113
Report Date: 11/09/2022
Date Signed: 11/09/2022 09:32:39 AM

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
09/07/2022 and conducted by Evaluator Stella Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20220907081936

FACILITY NAME:	AYERS, PAMELA		FACILITY NUMBER:	304312113
ADMINISTRATOR:	AYERS, PAMELA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 895-9585
CITY:	CYPRESS	STATE: CA	ZIP CODE:	90630
CAPACITY:	14	CENSUS: 8	DATE:	11/09/2022
		UNANNOUNCED	TIME BEGAN:	08:01 AM
MET WITH:	Pamela Ayers		TIME COMPLETED:	08:45 AM

ALLEGATION(S):

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Personal Rights - Facility staff is rough with children in care
Personal RIghts- Facility staff yells at children

INVESTIGATION FINDINGS:

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On 11/09/2022 Licensing Program Analyst, Stella Gutierrez made an unannounced visit to the facility for the purpose to deliver findings of complaint that was received at the Orange County Regional Child Care Program Office. LPA was met by Licensee, Pamela Ayers who was explained the reason for today’s visit.
A review of the Facility Personnel Report Summary conducted on 11/09/2022 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

A complaint was received on 09/07/2022 alleging Facility staff is rough with children in care and that facility staff yells at children. The allegations were investigated.
On 09/07/2022 The reporting party stated they witnessed a staff member push a child down on the floor and yelled at child to not mess with the display decorations on the shelf which result in child crying.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022

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-20220907081936

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: AYERS, PAMELA	FACILITY NUMBER: 304312113
	VISIT DATE: 11/09/2022

NARRATIVE

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The reporting party stated that they witnessed the same staff member being rough with other children in care on other occasions. It was stated that the same staff member yanked on a child’s arm for standing too close to the TV. The reporting party stated that they did not observe any marks on the children while present at the facility. Exact dates of the occurrences were not provided by the reporting party. LPA, Gutierrez contacted the reporting party several times between the dates of 09/14/2022 – 10/24/2022 and left voicemail message to call LPA back. LPA was not able to interview the reporting party.

On 09/15/2022. LPA Gutierrez made an unannounced inspection to the facility regarding the allegations of Personal Rights. LPA Interviewed the Licensee, Staff #1, attempted 03 children interviews and obtained a copy of the children’s facility roster (LIC 9040). During the interviews conducted the staff interviewed were asked what the discipline policy is and if the children were ever yelled at or handled in a rough manner while in care at the facility. Licensee stated that the children do get time out (which is sitting by the gate area in the on limits back yard) at the facility and stated that that she or no other staff yell or physically discipline the children in care. Staff #1 stated that the children are talked to, separated, redirected and placed in time out on the floor outside for 10-15 minutes. All staff stated that they do not yell or use physical discipline at the childcare. Staff #1 stated that he/she does pick a child up under their arms to separate them.

On 09/15/2022 LPA, Gutierrez attempted to interview 03 children while at the facility. LPA was not able to qualify the children due to the age and the limited language abilities.

On 09/17/2022 – 09/22/0222 LPA, Gutierrez conducted 05 parent interviews via phone calls of the children enrolled at the facility. There were no disclosures by any of the parents interviewed regarding the allegations mentioned.

Based on LPA’s observation and interviews conducted the allegations referenced on this report is Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred.

Exit interview conducted and report was reviewed with the licensee, Pamela Ayers. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Page 2 of 2

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022

LIC9099 (FAS) - (06/04)

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