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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371436
Report Date: 02/26/2021
Date Signed: 02/26/2021 03:24:13 PM



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
02/19/2021 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 06-CC-20210219085701
FACILITY NAME:PEACOCKS EARLY LEARNING CENTREFACILITY NUMBER:
304371436
ADMINISTRATOR:ROE,CHELSEAFACILITY TYPE:
850
ADDRESS:19901 YORBA LINDA BLVD.TELEPHONE:
(714) 970-2311
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:120CENSUS: 32DATE:
02/26/2021
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Chelsea Roa, Acting DirectorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Uncleared Adult
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mila Quinto conducted a complaint investigation regarding an uncleared staff member allegation. LPA met with Acting Director, Chelsea Roe. LPA observed the following: Room 1–4 preschool age children and 1 staff. Room 2-12 preschoolers and 2 staff; Room 5- 20 preschoolers and 3 staff. A review of facility personnel report summary on this date (2/26/21) indicates that all facility staff or other individuals who require caregiver background checks have not received criminal record and child abuse index clearances or exemptions. Staff named Nitin Bhatia who identified himself as the Project Management Contractor was at the facility and do not have criminal background clearance. During today's inspection, LPA Quinto interviewed 8 staff members. Due to printing issue, Acting Director will email copy of the children’s roster and sign in/out sheet from February 18-19, 2021.

The complainant alleged there is an unclear adult in the daycare center.



Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
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-20210219085701
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: PEACOCKS EARLY LEARNING CENTRE
FACILITY NUMBER: 304371436
VISIT DATE: 02/26/2021
NARRATIVE
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Page 2

During the investigation LPA interviewed the acting director, 6 staff members and Nitin Bhatia. A review of the children’s records was conducted. LPA interviewed Nitin Bhatia and to his own admission have recently filed for criminal clearance and provided copies of receipt dated 2/17/21 and LIC9163- Request for Live Scan Service. Mr. Bhatia stated he has been at the facility since September/October 2020 and present during daycare hours.


Based on information received today, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter 1, section 101170 (e)(1) is being cited on the attached LIC9099D.

Exit interview was conducted.

The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 06-CC-20210219085701
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: PEACOCKS EARLY LEARNING CENTRE
FACILITY NUMBER: 304371436
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/26/2021
Section Cited
CCR
101170(e)(1)
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101170(e)(1) Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(1)Obtain a California clearance or a criminal record exemption as required by the Department.
This requirement is not met as evidenced by:
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Nitin Bhatia submitted for the live scan on February 17, 2021. A copy of the receipt and LIC 9163 was provided to LPA. Acting Director will not grant entrance to the facility until there is criminal clearance for Mr. Bhatia.
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Based on interview and record review, Nitin Bhatia has been in the facility since September/October 2020 and did not obtain a criminal clearance until February 17, 2021. Civil penalty is being assessed.
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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.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
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
02/19/2021 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 06-CC-20210219085701

FACILITY NAME:PEACOCKS EARLY LEARNING CENTREFACILITY NUMBER:
304371436
ADMINISTRATOR:ROE,CHELSEAFACILITY TYPE:
850
ADDRESS:19901 YORBA LINDA BLVD.TELEPHONE:
(714) 970-2311
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:120CENSUS: 32DATE:
02/26/2021
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Chelsea Roa, Acting DirectorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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2
3
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9
Staff are not providing adequate supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mila Quinto conducted a complaint investigation regarding supervision allegation. LPA met with acting director, Chelsea Roe. LPA observed the following: Room 1–4 preschool age children and 1 staff. Room 2-12 preschoolers and 2 staff; Room 5- 20 preschool and 3 staff. A review of facility personnel report summary on this date (2/26/21) indicates that all facility staff or other individuals who require caregiver background checks have not received criminal record and child abuse index clearances or exemptions. Staff named Nitin Bhatia who identified himself as the Project Management Contractor was at the facility and do not have criminal background clearance. During today's inspection, LPA Quinto interviewed 8 staff members. Director will email copy of the children’s roster and sign in/out sheet from February 15-25, 2021.

The complainant alleged staff are not providing adequate supervision when children are entering to use the restroom.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
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-20210219085701
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: PEACOCKS EARLY LEARNING CENTRE
FACILITY NUMBER: 304371436
VISIT DATE: 02/26/2021
NARRATIVE
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Page 2

During the investigation LPA interviewed the acting director, 6 staff members and 5 children in care. A review of the children’s records was conducted. Based on the interview with the acting director and 6 staff members all indicated when children use the restroom, staff are right by the door entrance of the bathroom. The 3 of the 5 children in care stated when using the restroom, staff are either in the restroom or right outside the front door of the restroom. The other 2 children were not able to explain.

Based on the information gathered and through LPA's interview, there was insufficient evidence to corroborate the staff are not providing adequate supervision when children are entering to use the restroom. Although the allegation may have happened or are valid, there is not enough evidence to prove lack of supervision, therefore the allegation is unsubstantiated.

Exit interview was conducted.

The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5