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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700353
Report Date: 11/16/2023
Date Signed: 11/16/2023 11:23:10 AM

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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/21/2023 and conducted by Evaluator Cindy Hamilton
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230921090807
FACILITY NAME:KIDDIE ACADEMY CHILDCARE LEARNING CENTERFACILITY NUMBER:
376700353
ADMINISTRATOR:PLANT, LISAFACILITY TYPE:
850
ADDRESS:3766 MISSION AVENUE #110TELEPHONE:
(760) 439-5552
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY:126CENSUS: 56DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Evelyn Avila, Assistant DirectorTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Child sustained unexplained injuries while in care.
INVESTIGATION FINDINGS:
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On November 16, 2023, at 10:55 a.m., Licensing Program Analyst (LPA) Cindy Hamilton, met with Kiddie Academy Childcare Learning Center (CCC) Assistant Director Evelyn Avila to deliver the findings for the above stated allegation.  LPA Hamilton conducted a health and safety inspection of the CCC on September 27, 2023, and no safety concerns were noted.  During the investigation, LPA Hamilton conducted interviews with five staff and reporting party.  LPA also obtained and reviewed pertinent documents from facility and children’s files. LPA was unable to interview the child identified as the victim and/or witness due to child identified as being non-verbal.

On September 21, 2023, Community Care Licensing (CCL) received information stating child sustained unexplained injuries while in care. It was alleged that on or about September 20, 2023, a child was observed to have two bruised eyes and staff was unable to provide the parent with explanation for the bruising. The child’s parent sought medical attention for the child and a Child Protective Services report was done by the physician.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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 2
Control Number 10-CC-20230921090807
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: KIDDIE ACADEMY CHILDCARE LEARNING CENTER
FACILITY NUMBER: 376700353
VISIT DATE: 11/16/2023
NARRATIVE
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 Confidential interviews revealed there were no witnesses to the child being involved in any injurious incidents and was first observed with the bruising by staff during nap time. Confidential interviews also disclosed that there was a health check conducted for the child upon arrival to the CCC and there were no injuries observed on the child. Due to child being limited verbally, LPA was unable to interview the child and corroborate allegation.

Based on confidential interviews and records review, the allegation that child sustained unexplained injuries while in care, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated.

An exit interview was conducted, a copy of this report, appeal rights and Notice of Site Visit were provided to Assistan Director.The Assistant Director was reminded that the Notice of Site Visit must remain posted for 30 consecutive days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2