304371252-1-28-2022-06-CC-RLOZ-CB4QXZ-20220128113419

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371252
Report Date: 01/28/2022
Date Signed: 01/28/2022 09:02:22 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
10/29/2021 and conducted by Evaluator Nguyen K Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20211029164110

FACILITY NAME:	APPLE TREE PRESCHOOL & KINDERGARTEN		FACILITY NUMBER:	304371252
ADMINISTRATOR:	PERANCULLO, MARBEN		FACILITY TYPE:	850
ADDRESS:	2211 WEST WOODLEY AVENUE		TELEPHONE:	(714) 772-1005
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	60	CENSUS: 31	DATE:	01/28/2022
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Cynthia Mendez, Director		TIME COMPLETED:	09:15 AM

ALLEGATION(S):

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Staff shoved child.
Staff failed to provide medical assistance.
Staff spoke inappropriately about child causing humiliation.

INVESTIGATION FINDINGS:

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On 01/28/2022, Licensing Program Analyst (LPA) Tran conducted an in-person investigation to deliver the findings regarding the allegations alleging staff shoved a child, staff failed to provide medical assistance, and staff spoke inappropriately about child causing humiliation. LPA Tran met with Director Cynthia Mendez. The Covid-19 Emergency Response questionnaires were asked prior entering the facility. A tour of the facility was conducted, and a census was taken. Observed at the time of the investigation was a total of 19 preschool, 6 toddlers and 4 infants and 8 staff.

A review of the Facility Personnel Report Summary on 01/28/2022 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

(Continue next page)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

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 3

Control Number 06-CC-20211029164110

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: APPLE TREE PRESCHOOL & KINDERGARTEN	FACILITY NUMBER: 304371252
	VISIT DATE: 01/28/2022

NARRATIVE

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(Page 2 of Report)

On 10/29/2021, the Regional Office received a complaint with three separate allegations alleging staff shoved a child, staff failed to provide medical assistance, and staff spoke inappropriately about child causing humiliation. Reporting Party (RP) reported one child was crying for having leg pains and the teacher did not provide assistance, instead yelled at the child, which caused child to cry more, and another teacher shoved the same child when the child complained about leg pains.

During the course of investigation, LPA interviewed 5 staff members and 5 parents. LPA attempted to interview 9 children, only one child was qualified to be interviewed, child was the subject child.

During the staff interviews, 4 out of 5 staff denied witnessing any staff yelling or shoving any child in care. 1 staff out of the 5 claimed hearing one staff yelling at a child and came to intervene. One staff reported that another staff had informed the parent of the subject child about the incident. However, when interviewed, the staff who supposedly reported incident to parent was not there at the time of the incident and only learned about the incident when another staff informed her about it. In addition, the staff denied reporting incident to subject child’s parent. There was inconsistency in the information provided by two of the staff regarding the statements reported to the parent.

LPA Tran discovered there were cameras at the facility, LPA requested the owner to provide camera footage for reviewing but was informed by the owner the cameras do not record.

During children interviews, LPA Tran attempted to interview 9 children, 8 children were not qualified. Subject child was qualified for the interview, and child denied being yelled at or shoved by teachers. Child stated the teachers were helping when legs were hurting. Child also denied teachers ever saying anything to hurt their feelings.

During parent interviews, all interviewed parents shared no concern about the day care, instead, they are very happy with the service at the facility.

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SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 06-CC-20211029164110

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: APPLE TREE PRESCHOOL & KINDERGARTEN	FACILITY NUMBER: 304371252
	VISIT DATE: 01/28/2022

NARRATIVE

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(Page 3 of Report)

Based on the information gathered from LPA's interviews and observation on 11/03/2021 and 01/26/2022, there is insufficient evidence to corroborate the allegations alleging staff shoved a child, staff failed to provide medical assistance, and staff spoke inappropriately about child causing humiliation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged allegations did or did not occur; therefore, the allegations alleging staff shoved a child, staff failed to provide medical assistance, and staff spoke inappropriately about child causing humiliation are UNSUBSTANTIATED.

Exit interview was conducted. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. “The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.” This report LIC 9099 was provided to the Director. First level appeal is to Regional Manager, address is above on the report.

(End of Report)

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 3