304313748-3-3-2022-06-CC-JHAN-CC82DZ-20220304161908

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304313748
Report Date: 03/03/2022
Date Signed: 03/03/2022 05:27:32 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
12/29/2021 and conducted by Evaluator Carmen Odom

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20211229144954

FACILITY NAME:	ROJAS, MARTHA		FACILITY NUMBER:	304313748
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	03/03/2022
		UNANNOUNCED	TIME BEGAN:	05:00 PM
MET WITH:	Martha Rojas - Licensee		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

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Parent alleges licensee administered sleep medication to day care children

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPAs) Odom and Valdez Santana conducted an unannounced complaint inspection to deliver the findings for the above allegations. This is a continuation of the investigation initiated on 01/05/22. At 2:00pm, LPAs met with Licensee, Martha Rojas who guided LPA on tour of the facility. Census was taken and there were 1 infant, 2 preschool age and 2 school age children playing 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.

The Department received a complaint on 12/29/21 alleging licensee administered sleep medication to

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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-20211229144954

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: ROJAS, MARTHA	FACILITY NUMBER: 304313748
	VISIT DATE: 03/03/2022

NARRATIVE

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daycare children. The complaint party (CP) stated, on 12/21/21 at 6:30pm during pick-up Child #1 (C1) and Child #2 (C2) were observed asleep at the childcare. While licensee (S1) was trying to wake up the children, CP observed both children were groggy, disoriented. CP stated the children did not wake up until the following morning. It was the first time both children had slept over 10 hours. CP disclosed C1 no longer takes naps and C2 told CP that S1 makes them take naps at the childcare. CP stated, they did not take the children to the doctor for evaluation and care was discontinued the following day. LPA requested to interview children; CP denied the request.

During the investigation LPA Odom interviewed Complaining Party, Licensee, 1 staff, 4 parents, and 2 children. LPA Odom reviewed the Children’s Roster, inspected facility for medication and took pictures, and obtained text message thread.

During an interview on 01/05/22, licensee (S1), stated, on 12/21/21 S1 picked up C1 and C2 from school, they arrived at the childcare, both children ate and played inside. At around 6:00pm, C1 asked to watch TV and sat on the bean bag with a blanket, around 6:20pm S1 noticed C1 fell asleep on the bean bag and told C2, “Look C1 fell asleep” and C2 laid next to C1 and also fell asleep. CP arrived around 6:30pm and found both children asleep. During the interview S1 denied giving C1 and C2 any type of medication. S1 stated, there are no children enrolled in the childcare with Incident Medical Services (IMS) and it’s not provided at this time. LPA inspected the inaccessible medicine cabinet.

During an interview on 01/25/22, Staff #2 (S2) stated, they do not give children medicine unless they have instruction from the doctor. The childcare facility does not provide Incidental Medical Services (IMS) currently. S2 stated, they have never observed S1 giving C1 and C2 any medication or giving sleeping medication to any childcare children.

LPA Valdez Santana interviewed 2 children on 3/3/22. Both children disclosed they do not take naps at the childcare facility and they are not given medicine at the childcare facility.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20211229144954

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: ROJAS, MARTHA	FACILITY NUMBER: 304313748
	VISIT DATE: 03/03/2022

NARRATIVE

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LPA Odom attempted to interview 6 parents, but only 4 parents were interviewed on 02/09/22 and 02/22/22. All the parents do not have any concerns with the childcare, and they are satisfied with the childcare.

Based on LPA’s facility inspection, observations, interviews conducted with complaint party, licensee, 1 assistant, 2 children and 4 parents, records reviewed, and pictures taken by LPA, it has been determined there was insufficient evidence that Licensee administered sleep medication to C1 and C2. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview conducted and report was reviewed with the licensee Martha Rojas in Spanish. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) 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. First level appeals should be sent to the regional manager to the address listed above.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

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