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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370748
Report Date: 06/22/2023
Date Signed: 06/22/2023 11:38:04 AM

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
04/17/2023 and conducted by Evaluator Patricia Duron
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230417135950
FACILITY NAME:SERRANO HEIGHTS ACADEMYFACILITY NUMBER:
304370748
ADMINISTRATOR:CHA, HANNAFACILITY TYPE:
850
ADDRESS:6513 E. SERRANO AVENUETELEPHONE:
(714) 637-4963
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY:52CENSUS: 17DATE:
06/22/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Vik Gursahani Owner Adrministrator TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility bulletin board fell on a child in care
Facility is covering cracks in the floor with duct tape
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced complaint visit to deliver the complaint findings. LPA met with Owner Administrator, Vik Gursahani. Census was taken. The overall census observed was 5 staff and 17 preschool 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 4/17/2023 a complaint was filed with the Licensing office stating facility bulletin board fell on a child in care and facility is covering cracks in the floor with duct tape.Reporting Party (RP) stated a child touched the bulletin board and it fell and hit child on the face. RP stated the duct tape was placed on cracks on the floor with dozens of ants crawling out of them.
During the course of investigation, LPA interviewed 4 staff members, 4 parents, and 5 children and reviewed records.Regarding the allegation of “Facility bulletin board fell on a child in care”, Staff #2 (S2) stated, on March 14, 2023 a bulletin board in Preschool Room #3 approximately 4x3 feet was held my one nail, and the child pulled on it and the board fell on the child.The board was removed right away.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
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-20230417135950
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: SERRANO HEIGHTS ACADEMY
FACILITY NUMBER: 304370748
VISIT DATE: 06/22/2023
NARRATIVE
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The child got a red mark on his forehead, and parents were informed. Staff #3 (S3) stated parents were contacted, and the child had a small scratch, but child was ok.

Regarding the allegation of “Facility is covering the crack in the floor with duct tape”, LPA observed duct tape on the floor in classroom #3 and classroom #4 during initial visit conducted on 4/20/23. Staff #1 (S1) stated room #3 does have duct tape on the floor, to cover the crack, about 1 year tape is still there. S1 stated the facility is planning to make repairs to floor and other things in the classrooms. Staff #2 (S2) stated in room 3 the duct tape is on the floor.It's on the floor where they eat because there is a crack on the floor. Staff #4 (S4) stated the duct tape in room #4 is used for a guide for children when it’s time to line up. LPA observed duct tape in Room #4 on floor, and no visible cracks were under the tape. S4 stated the duct tape in room #3 is used for children to line up, but other tape is to cover the cracks that are on the tile in room #3. S4 stated remodeling and adding new flooring in the classrooms will be taking place.

LPA Duron interviewed 4 parents. All interviewed parents stated they did not have any concern with facility.
Based on LPA’s interviews, observations and reviewing records, the preponderance of evidence standard has been met, therefore the above allegation is are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101238 Buildings and Grounds (a) and 101229(a)(1) Responsibility for Providing Care and Supervision are being cited on the attached LIC9099D.

This requirement is met as evidence by: Based on LPA’s observations of the floor at the facility did have duct tape on the floor covering cracks on the floor. Based on LPA’s interviews 3 out of 4 staff stated facility does have duct tape on the floor for the purpose of covering the cracks on the floor. 3 out of 4 staff stated bulletin board did fall on a child in care, which poses a potential health risk to the children in care.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be immediately reported to the Department. The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 06-CC-20230417135950
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: SERRANO HEIGHTS ACADEMY
FACILITY NUMBER: 304370748
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/22/2023
Section Cited
CCR
101238
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101238 Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidence by:
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Owner Administrator Vik Gursahani renovated facility by adding new flooring in preschool / infant classrooms. LPA Duron observed new flooring in all classrooms. All bullentin boards are professionally and securely mounted on all walls in preschool/ infant classrooms.
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Based on LPA’s interviews 4 out of 4 staff stated facility does have duct tape on the floor for the purpose of covering
the cracks on the floor.
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Type B
06/22/2023
Section Cited
CCR
101229
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101229 Responsibility for Providing Care and Supervision (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections
101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met
as evidence by:
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Owner Administrator Vik Gursahani stated all bullentin boards have been professionally and securely mounted to walls in preschool/ infant rooms. LPA Duron has observed bulletin boards have been securely mounted on the walls. Facility has been newly painted, new window fixtures, and new furntiture has been added.
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Based on LPA’s interview, S2 and S3 disclosed on 3/14/23 a medium size
bulletin board approximatly 3X4 ft fell on a child and the child received a red mark and small scratch on their forehead.
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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: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
LIC9099 (FAS) - (06/04)
Page: 3 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
04/17/2023 and conducted by Evaluator Patricia Duron
COMPLAINT CONTROL NUMBER: 06-CC-20230417135950

FACILITY NAME:SERRANO HEIGHTS ACADEMYFACILITY NUMBER:
304370748
ADMINISTRATOR:CHA, HANNAFACILITY TYPE:
850
ADDRESS:6513 E. SERRANO AVENUETELEPHONE:
(714) 637-4963
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY:52CENSUS: 17DATE:
06/22/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Vik Gursahani Owner Adrministrator TIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
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5
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9
Facility gate is in disrepair
Facility staff did not prevent day care child from running out of the classroom
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced complaint visit to deliver the complaint findings. LPA met with owner Administrator Vik Gursahani. Census was taken. The overall census observed was 5 staff and 17 preschool 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 4/17/23 a complaint was filed with the Licensing office facility gate is in disrepair, facility staff
did not prevent day-care child from running out of the classroom. Reporting Party (RP) stated
the following: The latch was broken; it doesn't stick when you close the gate. RP stated a child
was dropped off one day, and child ran out chasing after parent, by themself.

During the course of investigation, LPA interviewed 4 staff, 4 parents, 3 children and reviewed records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
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 5
Control Number 06-CC-20230417135950
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: SERRANO HEIGHTS ACADEMY
FACILITY NUMBER: 304370748
VISIT DATE: 06/22/2023
NARRATIVE
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During the initial inspection dated 4/20/23, At arrival, LPA observed locked front gate. LPA observed gate able to lock securely after opening and closing gate. 4 out 4 staff stated facility gate is working at this time. Staff #4 (S4) stated that handle needed to be pulled for gate to latch. S4 stated repairs were made, and gate would lock without needing to be pulled. Regarding allegation of facility staff did not prevent day-care child from running out of the classroom. S1 stated, yes, once before, but staff was aware, child ran out with parent, and the staff observed and brought child back to room right away. Staff reminds children they cannot go out by themselves.

LPA Duron contacted four parents. All interviewed parents stated they did not have any concern with facility.

Based on the information gathered from LPAs’ interviews, observation, and reviewing records,
there is insufficient evidence to corroborate the allegations of Facility gate is in disrepair. Facility
staff did not prevent day-care child from running out of the classroom. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur in the day care facility, therefore the allegations are UNSUBSTANTIATED.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be immediately reported to the Department. The facility representative was informed that the “Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5