304370880-9-10-2024-06-CC-JHAN-D97NVC-20240917104743

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370880
Report Date: 09/10/2024
Date Signed: 09/10/2024 11:42:55 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2024 and conducted by Evaluator Karen Navar

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20240711130012

FACILITY NAME:	KIDDIE ACADEMY OF TUSTIN		FACILITY NUMBER:	304370880
ADMINISTRATOR:	CARRILLO, SYLVIA		FACILITY TYPE:	830
ADDRESS:	14501 NEWPORT AVENUE		TELEPHONE:	(714) 508-0005
CITY:	TUSTIN	STATE: CA	ZIP CODE:	92780
CAPACITY:	36	CENSUS: 33	DATE:	09/10/2024
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Director-Sylvia Carrillo		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Personal Rights
Responsibility for Providing Care and Supervision

INVESTIGATION FINDINGS:

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On 9/10/2024 at 11:00 AM, Licensing Program Analysts (LPAs), Karen Navar and Patricia Duron conducted an unannounced complaint inspection for the purpose of delivering findings. This is a continuation of a complaint inspection initiated on 7/11/2024.

Upon arrival LPA met with Director Sylvia Carrillo and was led on a tour of the facility. At 11: 05AM, LPAs observed a total of 33 infants and 9 staff.

A review of the Facility Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024

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 06-CC-20240711130012

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KIDDIE ACADEMY OF TUSTIN	FACILITY NUMBER: 304370880
	VISIT DATE: 09/10/2024

NARRATIVE

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On 7/11/2024, the Orange County Child Care Office received a complaint alleging: 1) Infant sustained unexplained bruising while in care. 2) Staff did not follow physicians order regarding infant’s dietary plan.

During the investigation, LPA toured the facility, obtained Parent Handbook, reviewed live video footage, Personnel Report LIC500, Child Care Facility Roster LIC9040, reviewed completed Infant Toddler Schedules, Daily Infant Reports, Accident Injury Reports, Menu Plans, Daily Health Checks, sign in/out sheets, took photos, and conducted interviews with the Reporting Party. LPA called 9 parents to interview and 4 parents were available to be interviewed. LPA did not interview children; children had limited vocabulary and did not qualify for interview.

On 7/19/2022, 8/07/2024, LPA conducted an inspection for the purpose of investigating a complaint received on 7/11/2024 in the Orange County Child Care Office. During inspections a review of staff records on those dates indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 7/19/2024 at 11:50AM, LPA Navar toured the facility with Teacher/Admin Leslie Oliva. During tour of infant classroom LPA observed infants in the carpet area listening to music with 2 staff and 1 staff at the table area. Toys appeared to be intact, functioning, and free of sharp edges.

LPA inspected food storage for infants, each infant had an individual container labeled with their name. Bottles and baby food were stored in the refrigerator and labeled individually with infant’s name. LPA reviewed Individual Menu Plans with child’s name written. Menu Plans were located in food prep areas. During infant file reviews LPA reviewed completed Infant and Toddler Schedules, Daily Health Checks, Daily Infant Schedules, and Accident Injury Reports.

On 7/19/2024 LPA conducted interviews with 4 staff (S1-S4). S4 stated that classroom video recordings are on a loop and get recorded over, so there is no access to past dates. All staff interviewed stated that they communicate with parents daily regarding infant’s feeding plan and that copies of the feeding plan is kept in the classroom so that they can review it when needed.
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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20240711130012

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KIDDIE ACADEMY OF TUSTIN	FACILITY NUMBER: 304370880
	VISIT DATE: 09/10/2024

NARRATIVE

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Staff also stated that if there is a change to the child’s plan or if the parent wants to supplement the food item the school is providing that they can. S1and S4 stated parents fill out a Daily Infant Report at drop off and that this form documents the infants day in care. S4 stated that the Daily Infant Report gets sent home daily.

During staff interviews staff S1-S4 stated they rotate their location when supervising infants. Staff will be in the carpet area, table area, or napping area that this is based on where children are located. During interviews S1-S3 stated that if an infant gets hurt during care that they will write a report and notify the office, and depending on the injury they will call parents.

On 8/07/2024 LPA Navar toured the facility with Assistant Director Jacqueline Sanchez. LPA observed infant staff members engaged with infants during classroom activities at the carpet area.

On 8/08/2024, LPA conducted parent interviews. LPA called 9 parents and 4 of the parents called were able to be interviewed. 4 parents interviewed did not disclose any information pertaining to the allegations.

Based on LPA observations, interviews with reporting party, staff, children and parents, there was not enough evidence to substantiate the allegations. 1) Infant sustained unexplained bruising while in care. 2) Staff did not follow physicians order regarding infant’s dietary plan. Although the allegations may have happened or is valid the preponderance of evidence has not been met; therefore, the allegations are found to be UNSUBSTANTIATED. No deficiency cited.

Exit interview conducted and report was reviewed with Director Sylvia Carrillo. The Director was informed that the “Notice of Site Visit” must be posted on or adjacent to the door for 30 days. Failure to post will result in a Civil Penalty of a $100.00. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024

LIC9099 (FAS) - (06/04)

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