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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360908323
Report Date: 05/17/2022
Date Signed: 05/17/2022 05:40:37 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
03/21/2022 and conducted by Evaluator Diana Brasel
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220321094114
FACILITY NAME:OCS RESURRECTION ACADEMYFACILITY NUMBER:
360908323
ADMINISTRATOR:MADELINE THOMASFACILITY TYPE:
850
ADDRESS:17434 MILLER AVENUETELEPHONE:
(909) 822-4431
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY:45CENSUS: 1DATE:
05/17/2022
UNANNOUNCEDTIME BEGAN:
04:50 PM
MET WITH:Joyce Bautista Designated Director tTIME COMPLETED:
05:50 PM
ALLEGATION(S):
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Child mistreated by another child in care.
Staff did not prevent child from being mistreated.
INVESTIGATION FINDINGS:
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On the above noted date, Licensing Program Analyst (LPA) Diana Brasel conducted an unannounced visit to deliver the concluded findings for the above allegations. LPA Diana Brasel conducted an initial joint visit on 03/22/2022, at which time a complete tour of the facility was conducted inside and out. A review of records was completed, documents gathered, and interviews were conducted. In addition, additional statements and documents have been obtained since the initial visit. On today's date LPA toured the facility and took a census. LPA met with Principle Jackie Swinehart to discuss the complaint findings. The following information has been obtained.

It was alleged a child was mistreated by another child and staff did not prevent a child from being mistreated. During the investigation, LPA obtained documentation and interviewed all pertinent parties, including staff and children. LPA was unable to determine whether staff are following the behavior plans of children who have challenging behaviors.
--continued on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022
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 2
Control Number 09-CC-20220321094114
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: OCS RESURRECTION ACADEMY
FACILITY NUMBER: 360908323
VISIT DATE: 05/17/2022
NARRATIVE
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During this investigation, conflicting information was received regarding the allegations that are in question. Based upon the information gathered throughout the investigation process, there is not a preponderance of evidence to corroborate the allegations.

The Department has investigated the above allegations and although they may have happened or been valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, the Department’s finding is that these allegations are unsubstantiated.

An exit interview was conducted, and appeal rights discussed.
LPA D. Brasel provided a copy of this report, appeal rights and Notice of Site visit on this date.
A copy of this report shall be made available to the public upon request for three years.

The notice of site visit shall remain posted for 30 days. Failure to comply with posting requirements shall
result in an immediate civil penalty of $100 dollars.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2