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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370638
Report Date: 08/16/2024
Date Signed: 08/16/2024 12:39:30 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 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
06/20/2024 and conducted by Evaluator Archibaldo Silva
COMPLAINT CONTROL NUMBER: 06-CC-20240620163652
FACILITY NAME:BUENA PARK EARLY HEAD STARTFACILITY NUMBER:
304370638
ADMINISTRATOR:JOSEPHINE HERNANDEZFACILITY TYPE:
830
ADDRESS:6625 DALE STREETTELEPHONE:
(714) 241-8920
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY:16CENSUS: 12DATE:
08/16/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Director Wendolin HernandezTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Staff did not provide adequate supervision resulting in a child sustaining unexplained injuries.
INVESTIGATION FINDINGS:
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13
On 8/16/2024 Licensing Program Analyst (LPA) A. Silva conducted an unannounced complaint investigation inspection. This is a continuation of the investigation initiated on 6/26/2024. Upon arrival, the LPA met with Director Wendolin Hernandez and informed the director of the purpose of the visit. The facility personnel report summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption. The census at the time of the visit was 12 infants in two rooms. The facility was operating within ratio and capacity.

The Department received a complaint on 6/20/2024 alleging that staff did not provide adequate supervision resulting in a child sustaining unexplained injuries.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
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 6
Control Number 06-CC-20240620163652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: BUENA PARK EARLY HEAD START
FACILITY NUMBER: 304370638
VISIT DATE: 08/16/2024
NARRATIVE
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Allegation: Staff did not provide adequate supervision resulting in a child sustaining unexplained injuries.

On 6/25/2024, the LPA interviewed reporting party (RP) about the allegations. RP reiterated the events and did not add any additional details.

On 6/26/2024, the LPA interviewed four staff about the allegation. Three staff denied they do not appropriately supervise children. When discussing challenging behavior, staff stated that they manage and prevent challenging behaviors by redirecting, giving children varied activities, and shadowing children who exhibit challenging behavior. All four staff disclosed that a child sustained injuries from another child including bites. The administration disclosed they are addressing repeated biting incidents by involving parents and providing them with resources.

On 7/18/2024, the LPA called seven parents. Three parents were reached and interviewed. None of the three parents interviewed disclosed any information that could help dismiss or corroborate the allegation. The rest of the parents did not respond to the Department’s request for comment.

On 7/18/2024, the LPA reviewed records provided by facility staff. Accident reports show that Child 1 and Child 2 sustained bites on multiple occasions in June 2024. A challenging behavior timeline shows the facility administration involved a parent or parents to develop a plan to prevent challenging behavior for Child 3.

Children were non-verbal due to their young age and therefore not interviewed.

Based on a records review and interview statements, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A substantiated finding means that the complaint is substantiated, and the allegation is valid.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 06-CC-20240620163652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: BUENA PARK EARLY HEAD START
FACILITY NUMBER: 304370638
VISIT DATE: 08/16/2024
NARRATIVE
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Director Wendolin Hernandez was informed that this licensing report dated 8/16/2024 documents one “Type A” citation(s). Type A citation(s) must be posted for 30 consecutive days during the hours that children are in care as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. LPA Silva further informed the director that a copy of this licensing report must be provided to parents or guardians of all clients currently enrolled by the next business day or by the next day the children are in care, a copy of this report must be provided to the parents or guardians of all newly enrolled clients for 12 months from the date of this report, and signed Acknowledgement of Receipt of Licensing Report (LIC 9224) form, or another written equivalent statement, must be placed in the child's file for verification of receipt of the report.

An exit interview was conducted with Wendolin Hernandez. The Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided a copy of their appeal rights (LIC 9058 01/16) 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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 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
06/20/2024 and conducted by Evaluator Archibaldo Silva
COMPLAINT CONTROL NUMBER: 06-CC-20240620163652

FACILITY NAME:BUENA PARK EARLY HEAD STARTFACILITY NUMBER:
304370638
ADMINISTRATOR:JOSEPHINE HERNANDEZFACILITY TYPE:
830
ADDRESS:6625 DALE STREETTELEPHONE:
(714) 241-8920
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY:16CENSUS: 12DATE:
08/16/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Director Wendolin HernandezTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff forced a child to wake up
Staff handled a child inappropriately
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/16/2024 Licensing Program Analyst (LPA) A. Silva conducted an unannounced complaint investigation inspection. This is a continuation of the investigation initiated on 6/26/2024. Upon arrival, the LPA met with Director Wendolin Hernandez and informed the director of the purpose of the visit. The facility personnel report summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption. The census at the time of the visit was 12 infants. The facility was operating within ratio and capacity.

The Department received a complaint on 6/20/2024 alleging that staff forced a child to wake up and the staff handled the child inappropriately.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 06-CC-20240620163652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: BUENA PARK EARLY HEAD START
FACILITY NUMBER: 304370638
VISIT DATE: 08/16/2024
NARRATIVE
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3
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5
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On 6/25/2024, the LPA interviewed reporting party (RP) about the allegations below. RP reiterated the and did not add additional details.

Allegation: Staff forced a child to wake up.

On 6/26/2024, the LPA interviewed four staff about this allegation. All staff denied that they abruptly wake up children when they are being picked up during naptime. Staff 1 (S1) said they “We don’t wake them up. We never force them to wake up. If it’s a heavy kid, we ask the parent if they want to go inside to pick the child up.” S1 added that, if they are able, they “pick up the child while they sleep, and give the child to the parent.” Staff 2 (S2) also denied they force children to wake up and added “We wake up the child gently. For me, I whisper mommy is here or daddy is here and when I see the child waking up, then I give them to their parent.” S2 said they don’t make the children walk and allowed them to move on their own. S2 recognized that it would be inappropriate to force a child to wake up and hand them over abruptly because they “check diapers too” before the child goes home. S3 and S4 made similar statements. S3 added that when they pick up the child, “the child may wake up.” S4 said, referring to heavier children, “for their safety they wake the child up to walk. It’s a case by case. Sometimes they wake up on their own. Our protocol is to not wake them up.”

Allegation: Staff Handled a child inappropriately.

On 6/26/2024, the LPA interviewed four staff about this allegation. All staff denied that they handled any child inappropriately. S1 stated “we are always very careful when we pick up the children. I hold their bottom and their head.” S2 said they manage challenging behavior through redirection and denied they mishandle children. All staff denied the allegation ever happened.

On 7/18/2024, the LPA called seven parents in relation to the allegations above. Three parents were reached and interviewed. None of the three parents interviewed disclosed any information that could help dismiss or corroborate the allegation. The rest of the parents did not respond to the Department’s request for comment.

Children were not interviewed about the allegations above because they were non-verbal due to their young age.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 06-CC-20240620163652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: BUENA PARK EARLY HEAD START
FACILITY NUMBER: 304370638
VISIT DATE: 08/16/2024
NARRATIVE
1
2
3
4
5
6
7
8
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12
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Based on the interviews conducted and records review, the preponderance of evidence standard 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 allegation is unsubstantiated.

An exit interview was conducted with Wendolin Hernandez. The Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided a copy of their appeal rights (LIC 9058 01/16) 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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6