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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300175
Report Date: 11/02/2022
Date Signed: 11/02/2022 03:28:57 PM

Substantiated


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
09/16/2022 and conducted by Evaluator Jessica M Rubio
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220916094241
FACILITY NAME:TOGETHER WE GROW (INFANT)FACILITY NUMBER:
336300175
ADMINISTRATOR:YVONNE BICCHIERIFACILITY TYPE:
830
ADDRESS:42389 WINCHESTER RDTELEPHONE:
(760) 757-6031
CITY:TEMECULASTATE: CAZIP CODE:
92590
CAPACITY:21CENSUS: 8DATE:
11/02/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Anna GarciaTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Lack of supervision resulting in child's injuries
Facility is operating out of ratio
Staff did not allow responsible party to enter facility

INVESTIGATION FINDINGS:
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On November 2, 2022 at 2:00 pm, Licensing Program Analyst (LPA) Jessica Rubio arrived unannounced to the Together We Grow (CCC), and met with Director (AD) Anna Garcia to deliver the investigative findings for the above stated allegations. During the investigation, confidential interviews were conducted with AD, and five staff (S1-S5). LPA also obtained copies of pertinent records that included: children’s injury reports, rosters and timecards for staff and children.

On September 16, 2022, a complaint was received alleging lack of supervision resulting in child sustaining injuries; specifically, that C1 was bit several times by C3 due to lack of supervision. The complaint also alleged the facility is operating out of ratio, and staff did not allow responsible party to enter the facility specifically, that P1 of C1 was denied entry to the facility by staff. (Continued on LIC 9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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 4
Control Number 10-CC-20220916094241
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: TOGETHER WE GROW (INFANT)
FACILITY NUMBER: 336300175
VISIT DATE: 11/02/2022
NARRATIVE
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Regarding the allegations alleging lack of supervision resulting in child sustaining injuries and the facility is operating out of ratio. Record review revealed that C1 attended CCC from November 2021 through September 15, 2022. Further record review revealed C1 was bit by C3, three days out of the five days C1 attended between 9/7/2022 and 9/14/2022, while other interviews revealed C1 was bit by C3 more often. Record review revealed these incidents were not the first time C3 bit another child at CCC. Record review of CCC’s documentation revealed CCC was aware of C3’s biting issue and C3 had six prior biting incidents with different children, one incident in July 2022 and five in August 2022. Record review and lack of documentation revealed that CCC only began working on a plan to address C3’s biting in September 2022 after notification of a possible complaint against the CCC was mentioned. Interviews and record review revealed C1 and C3 were both in the Farm class and that there were usually 4-6 children in the class with a teacher and a Certified Nursing Assistant (CNA) or Licensed Vocational Nurse (LVN) providing care. Additional interviews revealed that CNAs and LVNs cover teachers while on breaks and lunches and are sometimes left alone supervising children without a teacher present.

Regarding the allegation, staff did not allow responsible party (P1) of child (C1) to enter facility. Confidential interviews conducted revealed C1’s last day attending the facility was 9/15/2022 and when P1 arrived to pick C1 up, P1 was told by staff that C1 would be brought out to P1, while P1 remained in the lobby entrance. Additionally, interviews revealed it was common practice for parents or responsible parties to enter the facility past the lobby and pick up their children from their classroom. Interviews revealed P1 had previously and usually did this, however on 9/15/2022, C1 was brought out to P1. Interviews also revealed that at the time of pick up, P1 was not acting in an aggressive or threatening manner that would have warranted staff not letting P1 enter the facility.

Based on record review and confidential interviews, the preponderance of evidence standard has been met. The department has determined the allegation lack of supervision resulting in C1 sustaining injuries, the facility operating out of ratio and staff did not allow responsible party (P1) of C1 to enter facility is substantiated. The facility is being cited for violation of the California Code of Regulations Title 22 Section 101229(a) Responsibility for Providing Care and Supervision, 101216 (a) Personnel Requirements and 101218.1 (b)(1) Admission Procedures and Parental and Authorized Representative's Rights

An exit interview was conducted and a copy of this report, LIC 811 and appeal rights was provided to Director Anna Garcia. A notice of site visit was also provided and must remain posted for 30 days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 10-CC-20220916094241
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: TOGETHER WE GROW (INFANT)
FACILITY NUMBER: 336300175
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
11/30/2022
Section Cited
CCR
101229(a)
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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
This requirement was not met as evidenced by:
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Director stated a teacher has been hired and another will be hired. Director will provide an updated LIC 500 to LPA.
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The CCC being aware of C3’s biting and not providing adequate supervision to meet the needs of the other children in the class.
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Type B
11/30/2022
Section Cited
CCR
101216(a)
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(a) Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and at all times be employed in numbers sufficient to meet those needs.
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Director stated a teacher has been hired and another will be hired. Director will provide an updated LIC 500 to LPA.
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This requirement was not met as evidenced by:
Interviews revealed at times aids are left alone to provide care and supervision to children.
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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: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 10-CC-20220916094241
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: TOGETHER WE GROW (INFANT)
FACILITY NUMBER: 336300175
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
11/16/2022
Section Cited
CCR
101218.1(b)(1)
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101218.1 (b)...each child's parent ...his/her rights that include, but are not limited to...(1) To enter and inspect the child care center. This requirement was not met as evidenced by:
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Director stated a meeting with staff will be held to review Parent's Rights and she will provide proof to LPA.
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Staff did not allow P1 to enter into the facility to pick up C1, which poses a potential health, safety or personal rights rights risk to children 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: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4