525406947-8-29-2024-13-CC-EVIA-D97V69-20240917160912

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 525406947
Report Date: 08/29/2024
Date Signed: 08/29/2024 09:14:30 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/02/2024 and conducted by Evaluator Elizabeth Friese

COMPLAINT CONTROL NUMBER: 13-CC-20240802103929

FACILITY NAME:	BUILDING BLOCKS PRESCHOOL		FACILITY NUMBER:	525406947
ADMINISTRATOR:	ORDUNO, DAYNNIS		FACILITY TYPE:	850
ADDRESS:	1920 PARK AVE.		TELEPHONE:	(530) 209-3978
CITY:	RED BLUFF	STATE: CA	ZIP CODE:	96080
CAPACITY:	30	CENSUS:	DATE:	08/29/2024
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:			TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Staff did not ensure medications are centrally stored in an area inaccessible to day care children

Staff did not obtain instructions to administer prescription medications to a day care child

Staff were not trained to administer prescription medications to a day care child

Staff did not meet day care child’s diapering needs, resulting in a diaper rash

INVESTIGATION FINDINGS:

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On 8/29/24, at 8:50am, Licensing Program Analyst (LPA) Elizabeth Friese conducted an unannounced inspection and met with Director Dayniss Orduno for the purpose of delivering complaint findings. It was alleged that staff did not ensure medications are centrally stored in an area inaccessible to day care children, staff did not obtain instructions to administer prescription medications to a day care child, staff were not trained to administer prescription medications to a day care child, and that staff did not meet day care child’s diapering needs, resulting in a diaper rash.
On 8/7/24 at 9:15am, Licensing Program Analyst (LPA) Elizabeth Friese conducted an unannounced complaint inspection and met with facility representative Jennah Orduno. The facility representative was interviewed on 8/7/24 @ 9:30am, had no knowledge of the allegations and stated that they rarely have children in care with prescription medications. When they do, staff is trained, the instructions are attached to the medication, it is never accessible to children and always locked in the kitchen cabinet. The most recent enrollment with an EpiPen is not attending currently and their parent completed a medication release form with instructions.

Unsubstantiated

Estimated Days of Completion: 60

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Elizabeth Friese
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024

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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Control Number 13-CC-20240802103929

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: BUILDING BLOCKS PRESCHOOL	FACILITY NUMBER: 525406947
	VISIT DATE: 08/29/2024

NARRATIVE

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The facility representative advised that the last medication training she can recall was a few years ago when a child who needed an EpiPen was enrolled. Since that time staff has remained consistent, and they have felt no need for retraining since instructions are attached to medication. 2 additional staff (S1, S2) and 3 children (C1-C3) were interviewed on 8/7/24 between 9:48am and 10:25am. None had any knowledge of accessible medication or diaper rash issues. S2 referenced the EpiPen training a few years ago, and S3 does not administer medications. S3 stated that either Daynnis or Jennah are always on site. LPA Friese toured the facility this date and observed the medication storage area, diapering area and obtained the facility roster, employee contact information and an admissions agreement. LPA Friese observed this agreement to include their medication policy. There was no prescription medication in the facility this date to inspect.
On 8/09/24, between 9:07 and 9:48, the director and 3 parents were interviewed (P1-P3). Director Daynnis Orduno denied the allegations and stated that there was a parent that recently picked up an EpiPen on a day their child wasn’t attending. They requested the EpiPen from an employee that happened to be in the building but works in the detached infant area, so it took longer than usual to retrieve from the kitchen cabinet. Dayniss stated that on days when an allergic child was attending, they accommodated them by not allowing the allergen in the facility for 24 hours prior and always made sure that trained staff was on site those days. She described her medication labeling requirements in accordance with what is stated in the admissions agreement. She claimed that all staff work cooperatively with parents when children have diaper rash, using the cream they provide and following the instructions given. Diaper changes are logged.
All 3 parents interviewed reported never having seen accessible medication, 2 described medication as being kept in the kitchen cabinet, and P1 was unaware of where the medication was kept. None expressed any issues with diaper rash or the diapering policy, with P2 being grateful for the center providing their child diapers when they ran out.
Based on interviews, record review and observation, it has been determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated.

Exit interview conducted and report was reviewed with the licensee Dayniss Orduno. Appeal rights were provided.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Elizabeth Friese
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024

LIC9099 (FAS) - (06/04)

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