334807214-2-25-2022-10-CC-CMAZ-CCXQ92-20220328115733

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334807214
Report Date: 02/25/2022
Date Signed: 02/25/2022 10:32:37 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/03/2022 and conducted by Evaluator Sumayya Habeebulla

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20220103152751

FACILITY NAME:	JAN PETERSON CHILD DAY CARE CENTER		FACILITY NUMBER:	334807214
ADMINISTRATOR:	LINDA BEDNAR		FACILITY TYPE:	850
ADDRESS:	26895 BRODIAEA AVENUE		TELEPHONE:	(951) 601-9200
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92555
CAPACITY:	92	CENSUS: 68	DATE:	02/25/2022
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Linda Bednar		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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- COVID-19 positive staff are providing care and supervision to day care children.
- Facility is not following proper COVID-19 mask guidance
- Children are accepted with signs of illness

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Sumayya Habeebulla and Ana Noble arrived at the facility for the purpose of conducting a subsequent complaint visit, which includes concluding the investigation and delivering the investigation findings regarding the complaint investigation initiated on 01/05/22. LPAs met with Director Linda Bednar and discussed the above allegations.

On 02/07/22 LPA Habeebulla conducted interviews with the Director and 5 staff members, all of whom are pertinent to this investigation. Along with interviews, the investigation revealed that:
There is an allegation that COVID-19 positive staff are providing care and supervision to day care children. During investigation LPA was unable to collect pertinent information that would indicate that COVID-19 Positive Staff were providing care and supervision to day care children.

See LIC 9099C for continuation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022

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 10-CC-20220103152751

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: JAN PETERSON CHILD DAY CARE CENTER	FACILITY NUMBER: 334807214
	VISIT DATE: 02/25/2022

NARRATIVE

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Based on the information obtained through interviews, it was determined that staff who were showing symptoms of illness were continuing to be engaged with children in the classrooms, however, LPA was unable to verify if the staff who were ill, or had symptoms were actually COVID-19 Positive. In addition, per review of staff files, there was no evidence or documentation that would prove or indicate that staff had tested positive for COVID-19.

The second allegation is that the facility is not following proper COVID-19 mask guidance. During initial complaint investigation conducted on 02/07/22, LPA Habeebulla observed that the facility was following COVID-19 protocols and Staff were wearing a mask as required. During LPA’s subsequent visit conducted on this date, LPA observed 68 Children and 13 Staff on site; LPA noted that there were 17 children and 13 staff that were wearing mask during the inspection. The remaining students were having their snacks or getting ready for outdoor play. LPAs also observed one staff bring down her mask and speak to the children. LPAs provided technical assistance to the Director to require staff to wear the mask properly at all times. The teacher placed the mask back up after the director informed the staff to place the mask back on.

In addition, interviews revealed that staff were instructed to wear the mask per COVID-19 guidance, however, they were informed that children could not be forced to wear one and were told to encourage and/or remind the children of need to keep the mask on if they noticed the child was not using one. Based on the information gathered, LPAs could not corroborate allegation that the facility was not following proper COVID-19 mask guidance, therefore, the allegation is UNSUBSTANTIATED.

See LIC 9099C for continuation.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20220103152751

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: JAN PETERSON CHILD DAY CARE CENTER	FACILITY NUMBER: 334807214
	VISIT DATE: 02/25/2022

NARRATIVE

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The third allegation is that Children are accepted with signs of illness. It was determined through the information obtained through interviews with staff and the Director, that upon entering the facility, parents check their child’s temperature, staff makes a visual observation of the child for any visible signs of illness. Once the child is in the classroom and they show any signs of illness the teacher notifies the director who then informs the parents and asks the child to be picked up immediately. As per the interviews if a staff falls ill, they are required to go home and if they have COVID-19 symptoms they stay home for 10 days. They are not required to test and can return if fever free for 24 hours. As for students, they are asked to go home if they are ill. They are asked to stay home if they have diarrhea, fever etc. Based on the information obtained through interviews, LPA cannot determine if the facility is accepting children with signs of illness

From the information received by interviews and with staff, observation and facility documents the above allegations cannot be verified. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted, Linda Bednar, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022

LIC9099 (FAS) - (06/04)

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