334845346-10-3-2023-10-CC-DMUN-CWCLC6-20231006083747

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334845346
Report Date: 10/03/2023
Date Signed: 10/03/2023 02:54:32 PM

Unsubstantiated

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
09/05/2023 and conducted by Evaluator Alaina Wilburn

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20230905164826

FACILITY NAME:	DESERT PRESCHOOL ACADEMY		FACILITY NUMBER:	334845346
ADMINISTRATOR:	MARY VELASQUEZ		FACILITY TYPE:	830
ADDRESS:	13095 INDIAN ST.		TELEPHONE:	(951) 924-3636
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92553
CAPACITY:	12	CENSUS: 3	DATE:	10/03/2023
		UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Mary Velasquez		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Day care child sustained multiple unexplained injuries
Staff did not notify day care child's parent of injuries
Staff did not notify day care child's parent of gas leak in facility
Staff are not applying day care child's lotion per doctor's note

INVESTIGATION FINDINGS:

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At 12:20PM on October 3, 2023, Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced complaint visit. LPA met with Director Mary Velasquez, to discuss the above stated allegations.
LPA interviewed four staff from the infant center. The investigation consisted of interviews with the Director, confidential witnesses and pertinent parties and a review of relevant paperwork

The investigation revealed the following: On 09/05/2023, a complaint allegation was received by Community Care Licensing (CCL) that day care child sustained multiple unexplained injuries, staff did not notify day care child's parents of injuries, staff did not notify day care child's parent of gas leak in facility and staff are not applying day care child's lotion per doctor's note. Staff interviewed deny observing child #1 (C1) sustain multiple injuries while in care. Staff stated when children arrive, a health check is performed and if anything is observed, it is documented and communicated with parent. Director and staff stated that if a child sustains an injury in care, it is documented and reported to the parent. LPA only observed one ouch report in C1's file. On the morning of 07/03/23, Director arrived at the facility and observed a faint odor in the preschool

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

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-20230905164826

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: DESERT PRESCHOOL ACADEMY	FACILITY NUMBER: 334845346
	VISIT DATE: 10/03/2023

NARRATIVE

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building. The infant center is in a different building. Director stated she was unsure if it was gas or something else. The Director notified parents arriving at the preschool, and gave them the option of taking their child or keeping them here as she figured out what was happening, but they may have to return and pick up children if the Gas Company determined a threat. Child #1 is one of the first to arrive in the other building(infant center), so the Director hadn't made it to the infant center to alert staff yet. The Gas Company arrived promptly and turned the gas off. The technician advised since the gas was turned off, the school did not have to close and they could resume operation. An incident report was submitted to Community Care Licensing.
LPA observed a doctors note dated 06/12/23 for C1. In addition, the facility had the parent of C1 fill out the LIC 9221 (Parent Consent for Administration of Medications and Medication Chart) weekly. The doctors note says the lotion should be applied "2-3 times daily for skin dryness while in day-care." Initially, it was established the parent would apply the lotion in the morning and evening, and the day care staff would apply at 11:00am. LPA observed it charted that the facility staff were applying it at 11:00am, when C1 was present at the facility; however, LPA observed on the weekly form(LIC 9221) the dosage and frequency kept changing. Since there was confusion, the Director spoke with the parent for clarity and relayed that information to the staff. Based on available documentation, it appears the staff were applying the lotion and charting it based on the instructions given on the LIC 9221.
Based on interviews conducted and record review, the allegations that day care child sustained multiple unexplained injuries, staff did not notify day care child's parents of injuries, staff did not notify day-care child's parent of gas leak in facility and staff are not applying day care child's lotion per doctor's note, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted. A copy of this report and appeal rights were discussed and provided to the Director Mary Velasquez on this date.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

LIC9099 (FAS) - (06/04)

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