334845645-5-13-2022-09-CC-GSEA-CFENJU-20220615103056

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334845645
Report Date: 05/13/2022
Date Signed: 05/13/2022 12:11:41 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
04/13/2022 and conducted by Evaluator Justin Giese

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20220413085940

FACILITY NAME:	KINGSTON ACADEMY		FACILITY NUMBER:	334845645
ADMINISTRATOR:	KAREN BRAZZILL		FACILITY TYPE:	840
ADDRESS:	6048 ETIWANDA AVENUE		TELEPHONE:	(951) 681-4182
CITY:	MIRA LOMA	STATE: CA	ZIP CODE:	91752
CAPACITY:	49	CENSUS: 0	DATE:	05/13/2022
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Karen Brazzill		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Day care children are not being adequately supervised
Facility commingles day care children

INVESTIGATION FINDINGS:

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On 05/13/22 at time listed above Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to the facility for the purpose of concluding a complaint investigation. LPA met with Director, Karen Brazzill regarding the above allegations, which were received on 04/13/2022.
The following was alleged: Day care children are not being adequately supervised and Facility commingles day care children. It was alleged two school age children were left unattended in the Facility’s lobby and school age is mixed in during bus runs because there is not enough staff. LPA was unable to obtain any further information regarding when the allegation occurred, the frequency or parties involved.

On 04/18/2022 LPA made an unannounced visit to the facility to initiate this complaint investigation. At time of visit LPA reviewed facility records, interviewed the Director and Facility staff directly involved in the operations and supervision of children enrolled in the Facility’s School Age program. On 04/26/2022 LPA made a subsequent unannounced visit to the facility to obtain more information. At time of visit LPA conducted interviews with 4 school aged children.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2022

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 09-CC-20220413085940

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: KINGSTON ACADEMY	FACILITY NUMBER: 334845645
	VISIT DATE: 05/13/2022

NARRATIVE

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LPA recorded conflicting information from individuals interviewed from what is being alleged. Statements made by children and staff deny that school age children have ever been left unattended in the lobby or mixed with other age groups outside of their respected classroom when not operating under the approved waiver.

The facility operates under an approved “commingling” waiver issued by the Licensing office allowing day care children ages 2 to Kindergarten as well as School Aged children to be commingled and occupy the same classroom space the first hour and last hour of business hours. Outside of the time period granted in the waiver, day care children are to be physically separated from other programs offered in the facility.

Staff acknowledge the ability to commingle day care and school age children at specific times of the day. LPA conducted unannounced visits to the facility on 04/01/2022, 04/12/2022, 04/18/2022 and 04/26/2022 for other purposes. During these unannounced visits, LPA toured all functioning areas and classrooms of the facility. LPA was present at times staff left to make bus runs for after school pick up and did not observe any children left unattended or children commingled outside of their perspective age groups or programs outside of the times stated in the approved waiver.

This agency has investigated the complaint alleging Day care children are not being adequately supervised and Facility commingles day care children. Although the allegations may have happened, or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A NOTICE OF SITE VISIT WAS GIVEN. DIRECTOR WAS INSTRUCTED TO POSTED IT IN A PROMINENT LOCATION AT THE FACILITY. THE DIRECTOR UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

An exit interview was conducted, A copy of this report and appeal rights were given to the Director during this inspection on 05/13/2022.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2022

LIC9099 (FAS) - (06/04)

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