334845817-6-5-2023-09-CC-GSEA-CT6QAK-20230626120002

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334845817
Report Date: 06/05/2023
Date Signed: 06/05/2023 03:49:16 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
04/04/2023 and conducted by Evaluator Elyse Jones

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20230404083420

FACILITY NAME:	LITTLE STEPS MONTESSORI PRESCHOOL		FACILITY NUMBER:	334845817
ADMINISTRATOR:	JENNIFER FERNANDO		FACILITY TYPE:	850
ADDRESS:	6316 WINEVILLE AVE.		TELEPHONE:	(951) 737-7845
CITY:	MIRA LOMA	STATE: CA	ZIP CODE:	91752
CAPACITY:	60	CENSUS: 24	DATE:	06/05/2023
		UNANNOUNCED	TIME BEGAN:	03:03 PM
MET WITH:	Jennifer Fernando		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff caused an injury to daycare child

INVESTIGATION FINDINGS:

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On June 5, 2023, Licensing Program Analyst (LPA) Elyse Jones arrived at the facility to conclude the investigation regarding the above allegations. Additional interviews were conducted. LPA met with Jennifer Fernando, conducted a tour of the facility, and took census.

On April 4, 2023, a complaint was received alleging a child sustained an injury while in care. It was alleged a child was bleeding after being picked-up. The child stated a staff member had scratched them. The child was examined by professional medical staff and the medical staff did not observe any scratches on the child. Law enforcement was contacted, and they opened an investigation regarding the allegation.

During the investigation, interviews were conducted with a pertinent parties, interviews were attempted with other pertinent parties, a document was obtained, and LPA attempted multiple times to obtain a status of law enforcement’s investigation and a copy of their report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023

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 09-CC-20230404083420

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: LITTLE STEPS MONTESSORI PRESCHOOL	FACILITY NUMBER: 334845817
	VISIT DATE: 06/05/2023

NARRATIVE

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Staff stated they are not aware of any child sustaining an unknown injury. Director stated, the facility documents on an Ouch Report and keeps in a facility file when children have incidents. She also stated, if an incident needed to be reported to Licensing the facility will submit an LIC 624.

LPA attempted to interview three children; however, two children were non-verbal.

Due to LPA unable to interview pertinent parties, LPA unable to obtain any medical documentation stating there was an injury caused at day care, and LPA unable to obtain a status of law enforcements investigation and/or a copy of their report, the department is unable to determine whether the child sustained an injury while in care.

This agency has investigated the complaint alleging a child sustained an injury while in care. Based on the interview conducted, LPA unable to obtain any additional information through interviews/documents, the allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation occurred.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with Jennifer Fernando, Director.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023

LIC9099 (FAS) - (06/04)

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