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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334841842
Report Date: 10/19/2023
Date Signed: 10/19/2023 02:05:25 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 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
09/15/2023 and conducted by Evaluator Courtnee Peebles
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230915112720
FACILITY NAME:KIDDIE ACADEMY OF MURRIETAFACILITY NUMBER:
334841842
ADMINISTRATOR:ELIZABETH SRONCE HOLMESFACILITY TYPE:
850
ADDRESS:41755 JUNIPER STREETTELEPHONE:
(951) 600-0545
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:72CENSUS: 41DATE:
10/19/2023
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Reyna McgovernTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff did not properly report an incident involving a daycare child
Staff did not meet a daycare child's diapering needs
Staff did not provide adequate supervision to a daycare child
INVESTIGATION FINDINGS:
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On October 19, 2023, at 02:00 PM, Licensing Program Analyst (LPA) Courtnee Peebles arrived unannounced to KIDDIE ACADEMY OF MURRIETA (CCC) and met with assistant director, Reyna Mcgovern to discuss the investigative finding of the allegation listed above. LPA conducted a tour and census of the CCC. During the investigation, LPA conducted confidential interviews with three staff (AD, S1, S2, S3).

On September 19, 2023, a complaint was received with allegations stating the CCC, Staff did not properly report an incident involving a daycare child, and Staff did not provide adequate supervision to a daycare child, Staff did not meet a daycare child's diapering needs. Confidential interviews disclosed that C1 did sustain injuries during day care hours that required staff attention. 3 of 3 interviews revealed that per observation from camera recording, staff did not attend to C1’s injuries and allowed C1 to console themself. Interviews also revealed that S3 visually observed C1 sustain injuries to their face and chest and continued to sit and watch from a distance while not correcting the behavior of the other child. Interviews also revealed that staff may not have the proper ratios to remove a staff member from super visional needs to assist with diapering of the infants resulting in C1 to go home on occasion without a diaper on.

Based on confidential interviews and record review and observation conducted during the investigation the allegation that the Facility Staff did not properly report an incident involving a daycare child, and Staff did not provide adequate supervision to a daycare child, Staff did not meet a daycare child's diapering needs, the preponderance of evidence standard has been met and the allegations that the Facility Staff did not properly report an incident involving a daycare child, and Staff did not provide adequate supervision to a daycare child, Staff did not meet a daycare child's diapering needs have been made substantiated. A copy of this report and appeal rights were given and explained to Assistant Director Reyna Mcgovern.
Substantiated
Estimated Days of Completion: 34
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023
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 10-CC-20230915112720
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KIDDIE ACADEMY OF MURRIETA
FACILITY NUMBER: 334841842
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/02/2023
Section Cited
CCR
1012226.3
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101226.3 Observation of the Child
(b) Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record
This requirement is not met as evidenced by.......
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Assistant director has written S3 up based off this incident. S3 is also no longer allowed to supervise children withouth another staff present. S3 was also provided training on how to handle these situations.
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Based of observation and confidential interviews S3 did not provide appropriate observation to C1 resulting in minor injuries that was not reported to C1's parents which poses a potential health, safety or personal rights risk to persons in care.
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Type B
11/02/2023
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
his requirement is not met as evidenced by......
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Assistant director stated S3 was also trained on diapering/toileting needs.
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Based on interviews, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20230915112720
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KIDDIE ACADEMY OF MURRIETA
FACILITY NUMBER: 334841842
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/02/2023
Section Cited
HSC
101226(2)
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101226 Health-Related Services
(2) In the case of less serious injuries including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center.
This requirement is not met as evidenced by.........
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Assistant Director will hold a training to staff on reporting injuries to parents and or authorized representatives.
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Based on confidential interviews, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3