364844264-8-17-2022-12-CC-CYAS-CJPLED-20220928084118

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364844264
Report Date: 08/17/2022
Date Signed: 08/17/2022 03:48:10 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/22/2022 and conducted by Evaluator Kendal Zirbes

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20220622145825

FACILITY NAME:	READY SET GROW LEARNING SERVICES		FACILITY NUMBER:	364844264
ADMINISTRATOR:	LILAMANIE SENEWIRATNE		FACILITY TYPE:	830
ADDRESS:	1528 PUMALO STREET		TELEPHONE:	(909) 883-6628
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92404
CAPACITY:	11	CENSUS: 6	DATE:	08/17/2022
		UNANNOUNCED	TIME BEGAN:	02:46 PM
MET WITH:	Facility Representative Angie Bustillos		TIME COMPLETED:	03:05 PM

ALLEGATION(S):

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Day care child sustained an injury while in care

INVESTIGATION FINDINGS:

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On August 17, 2022 Licensing Program Analyst (LPA) Zirbes conducted a follow-up complaint inspection to Ready Set Grow Learning Services. LPA met with facility representative Angie Bustillos. The purpose of the inspection was to deliver the findings for the above complaint allegation. Over the course of investigating the allegation regarding personal rights, LPA conducted confidential interviews with staff and parents. In addition, LPA completed a review of the facility records and photographic evidence of the injury. All staff denied child 1 (C1) obtained an injury on June 3, 2022. The facility records did not contain an injury report dated June 3, 2022. The infant daily report indicated that at drop off on June 3, 3022, C1’s health check was “good” however C1 had a small scratch inside the ear. The information obtained over the course of the investigation, revealed inconsistencies regarding if C1 sustained an injury to the eye while in care on June 3, 2022. Therefore, the allegation was deemed Unsubstantiated at this time. A finding of unsubstantiated means that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Angie Bustillos.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

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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