<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364843935
Report Date: 05/18/2023
Date Signed: 05/18/2023 04:56:35 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
04/25/2023 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20230425092534
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: 8DATE:
05/18/2023
UNANNOUNCEDTIME BEGAN:
04:20 PM
MET WITH:Pauline Copas/directorTIME COMPLETED:
05:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Daycare child sustained multiple scratches
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/18/23 at 4:20 pm, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation to deliver final findings. LPA was granted access into the facility and met with Pauline Copas. LPA toured facility and took a census.

Allegation: Day-care child sustained multiple scratches. It was alleged a day-care child sustained multiple scratches at the daycare; however, how the child sustained the scratches is disputed.

LPA interviewed all pertinent parties, including staff. Staff stated a child did sustain multiple scratches when the child fell into the toy car, head first. Staff stated the child’s authorized representative was notified verbally of the incident.


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

DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023
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 4
Control Number 09-CC-20230425092534
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: 05/18/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA toured the facility and inspected the toy car. LPA determined the toy car was age appropriate and in good repair.

Based on interviews conducted, there was conflicting information received from what was alleged. Although a child sustained multiple scratches, LPA was unable to determine if the scratches were due to any violations; therefore, the allegation a day-care child sustained multiple scratches is unsubstantiated.

Although the allegation 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.

Exit interview conducted with director report, appeal rights 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: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4