304371235-7-27-2021-06-CC-JHAN-C5MS3T-20210806133138

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371235
Report Date: 07/27/2021
Date Signed: 07/27/2021 09:56:49 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
05/10/2021 and conducted by Evaluator Cindy Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210510120619

FACILITY NAME:	SUNSHINE TIME		FACILITY NUMBER:	304371235
ADMINISTRATOR:	JULIE TRAN		FACILITY TYPE:	850
ADDRESS:	12421 MAGNOLIA STREET		TELEPHONE:	(714) 864-2600
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92842
CAPACITY:	36	CENSUS: 9	DATE:	07/27/2021
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Director, Julie Tran		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Day care child received an injury while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cindy Nguyen conducted an unannounced complaint inspection to investigate the above allegation. This is a continuation of the investigation initiated on 05/11/2021. LPA met with Director, Julie Tran. The overall census observed was 9 preschool children with 2 staff members including the director. During today's inspection staffing and capacity ratios were being met. 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.

In addition to receiving a complaint, the director self-reported the incident on 04/20/2021. During the investigation LPA conducted one physical inspection via tele-inspection, one in-person physical inspection, interviewed all staff members, 7 children, 5 parents, obtained facility incident reports/documentations, and received a copy of the children's roster.

Continued on Page 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Cindy Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021

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-20210510120619

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: SUNSHINE TIME	FACILITY NUMBER: 304371235
	VISIT DATE: 07/27/2021

NARRATIVE

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Page 9099C

Complainant alleged that child received an injury while in care. Complainant stated there was a red line across the child’s neck. When asked what had happened, staff stated the child in question and another child were arguing over a toy and pushing it back and forth and the toy may hit the child in the neck. Staff #1 (S1) stated, Child #8 (C8) took a toy (bristle block) from Child #3 (C3) when C3 left to play in another area for a few seconds, C3 came behind C8 holding a toy (bristle block) in his hand and held on to child in question neck like piggyback. S1 told C3 to get off C8, which C3 did, C8 didn’t cry, S1 checked the top part of C8's neck, and didn't observed any injury. Children interviewed did not disclose any information to support the allegation. All parents interviewed stated the facility is great. No parent expressed any concern or issue with the facility.

Based on LPA observations, document reviews and interviews which were conducted, the preponderance of evidence was not met, therefore the above allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Julie Tran. Notice of Site Visit was posted during the visit. 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. 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: Judy Hanson
LICENSING EVALUATOR NAME: Cindy Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021

LIC9099 (FAS) - (06/04)

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