330900976-1-6-2022-09-CC-AROS-CBJRQK-20220211121341

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 330900976
Report Date: 01/06/2022
Date Signed: 01/06/2022 05:27:55 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/03/2021 and conducted by Evaluator Karrene Phillips

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20211203111317

FACILITY NAME:	TOWN AND COUNTRY DAY SCHOOL		FACILITY NUMBER:	330900976
ADMINISTRATOR:	BETTY BASH		FACILITY TYPE:	850
ADDRESS:	3614 PEDLEY AVENUE		TELEPHONE:	(951) 737-2130
CITY:	NORCO	STATE: CA	ZIP CODE:	92860
CAPACITY:	85	CENSUS: 50	DATE:	01/06/2022
		UNANNOUNCED	TIME BEGAN:	01:26 PM
MET WITH:	Betty Bash (Executive Director), Carla Reyes (Director), Kevin Bash (co-licensee)		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Child sustained multiple unexplained injuries while in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analysts (LPAs) Kay Phillips and Blanca Ruiz arrived at the facility to provide investigations findings of the reported above allegation. LPAs met with the Executive Director, Betty Bash, at the time of the inspection and stated the purpose of today’s inspection. LPAs toured the facility and took census. LPA Phillips interviewed pertinent parties and obtained relevant documents related to the investigation.

During the initial inspection on 12/10/21, LPAs observed children's activities and staff supervising children. Interviews were conducted with facility staff present during this inspection.

The allegation states that a child at the facility sustained multiple unexplained injuries while in care. The investigation revealed the following regarding the allegations.
Based on the interviews conducted it was determined that a child was playing outside with other children with large plastic insects/animals.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Phillips
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2022

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 2

Control Number 09-CC-20211203111317

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: TOWN AND COUNTRY DAY SCHOOL	FACILITY NUMBER: 330900976
	VISIT DATE: 01/06/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The insects were noted to be approximately 8-10 inches long and weighed between 1/2 to 1 pound each. The children were throwing them in the air to see if they could fly. Per recollection of the staff, the children were asked to stop throwing toys to each other; it was then when the child was hit in the forehead with one of the insects. It was alleged that the child went home with an injury to the forehead, described as swollen with a bruise and a lump. Child is no longer attending the facility.

Based on all information obtained throughout the investigation, interviews conducted with relevant parties and reviews of children's files, the information obtained is conflicting with the records review and the information provided as evidenced by the incident.

Therefore, the preponderance of evidence standard has not been met to indicate that the allegation did or did not occur and/or if the facility staff violated the above allegation during the time in question, allegation as filed with the Department is found to be Unsubstantiated at this time.

No deficiencies cited at this time. An exit interview was conducted, and a copy of this report was provided to the Director on this date. Notice of Site Visit was posted and must stay posted for 30 days.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Phillips
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2