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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364843935
Report Date: 05/04/2023
Date Signed: 05/04/2023 02:07:43 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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2023 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20230413091800
FACILITY NAME:FOOTHILL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364843935
ADMINISTRATOR:COPAS,PAULINEFACILITY TYPE:
830
ADDRESS:791 E. FOOTHILL BLVD UNIT BTELEPHONE:
(909) 985-4448
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY:16CENSUS: 12DATE:
05/04/2023
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Ellie Devitta/ADTIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Due to a lack of supervision child sustained injuries at the daycare
INVESTIGATION FINDINGS:
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On 5/4/23 at 11:40 am, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation to deliver final fidnings. LPA met with Ellie Devitta/Assistant director (AD) and was granted access into the facility. LPA toured facility and took a census.

Allegation: Due to a lack of supervision child sustained injuries at the daycare.
It was alleged a child bit another child four times, consecutively; with two bites occurring an hour apart on one day. LPA interviewed 4 staff.
Staff stated there are a couple of children who bite frequently. Staff stated the two children are shadowed; however, sometimes staff’s attention is placed on other children, and the two children aren’t always shadowed properly. Director stated the teachers in the classroom shadow the children.

(Cont on 9099C)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023
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 3
Control Number 09-CC-20230413091800
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: FOOTHILL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364843935
VISIT DATE: 05/04/2023
NARRATIVE
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 Director stated there are typically 3 to 4 teachers in the classroom at one time depending on ratios. LPA inquired if the facility has a biting policy and staff stated the facility does not have a discipline policy or biting policy. Director stated the children are shadowed based on knowledge from what other daycares implement when there is an excessive behavior issue.

Based on staff admitting knowledge of children who bite frequently and not providing supervision, allegation above is substantiated. Based on interviews conducted and staff admitting knowledge of children who bite frequently and not providing supervision the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, are being cited on the attached LIC 9099D


Exit interview conducted with Ellie Devitta/AD report, appeal rights, acknowledgement of receipt and notice of site visit issued.

Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20230413091800
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: FOOTHILL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364843935
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/05/2023
Section Cited
CCR
101429(a)(1)
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Responsibility for Providing Care and Supervision for Infants (a)...the following shall apply:(1) Each infant shall be... under direct visual observation and supervision... at all times.
This requirement was not met as evidenced by
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Director immediately added another staff member in the infant room. Director stated she will conduct a staff training and provide a list of participants and topic to CCL by 5/5/23.
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Based on staff admitting knowledge of children who bite frequently and not providing supervision.

This is an immediate risk to the health, safety and personal rights of 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: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3