304371023-5-26-2023-06-CC-PMAA-CSEK34-20230602073207

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371023
Report Date: 05/26/2023
Date Signed: 05/26/2023 09:06:36 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, 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
03/16/2023 and conducted by Evaluator Romelia M Castanon

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20230316090947

FACILITY NAME:	CAROUSEL PRESCHOOL AND DAYCARE CENTER		FACILITY NUMBER:	304371023
ADMINISTRATOR:	TROCH, TRACIE		FACILITY TYPE:	840
ADDRESS:	5890 CATHY AVENUE		TELEPHONE:	(714) 828-7430
CITY:	CYPRESS	STATE: CA	ZIP CODE:	90630
CAPACITY:	80	CENSUS: 22	DATE:	05/26/2023
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Director Tracie Troch		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not adequately supervise children in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 05/26/2023, Licensing Program Analyst (LPA) Romy Castanon and LPA Karen Navar made an unannounced visit to the facility for the purpose of delivering findings of a complaint investigation conducted by Investigation Branch (IB) Investigator Thomas Smith. LPA’s met with Director Tracie Troch and explained the reason for today’s visit. Licensee was on conference call listening in during meeting. A tour of Room 2 was conducted, and census was taken. Observed at the time of the visit was a total of 22 children and 5 staff members.
A review of the Facility Personnel Report Summary on 05/26/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 03/16/2023, the Regional Office received a complaint report alleging staff did not adequately supervise children in care. Reporting Party (RP) states Child #1(C1) was experiencing bullying in school. RP was initially informed of the bullying around September 2022 by C1. Complaint stated, most recently, C1 began exhibiting inappropriate behaviors at home and in public which prompted RP to question C1.
(Continue to Page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023

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 06-CC-20230316090947

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CAROUSEL PRESCHOOL AND DAYCARE CENTER	FACILITY NUMBER: 304371023
	VISIT DATE: 05/26/2023

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

Page 2

RP discovered C1’s bullying had escalated physically and involved four other children. Child #2 (C2) and Child #3 (C3) attend Carousel afterschool, but Child #4 (C4) and Child #5 (C5) do not.

During the visit on 03/23/2023, IB investigator interviewed Carousel Director and daycare program staff who have close interaction with all five children daily. Director stated RP initially contacted her in May 2022 alleging C1 was being bullied by C2 and C3. RP requested the children be separated inside their shared classroom. On 03/13/2023, RP communicated with Director stating the bullying was worse than they realized. The licensee of Carousel, Amanda Phillips responded and requested to meet with RP. RP stated due to safety concerns, C1 would no longer attend and did not feel the need to meet with staff.

During IB investigator interviews with three staff members, 3 out of 3 staff members mentioned all children are constantly supervised while on the playground and in the classroom. 3 out of 3 staff members stated C1 did not ever report being bullied. 2 out of 3 staff members stated they have not observed any form of bullying among the children involved. IB investigator requested to meet with C1 but RP did not respond to request. Staff #1 (S1) informed investigator C1, C2, C3 and C4 were interviewed. 4 out of 4 children denied the allegations. S1 stated they reached out to RP to meet but RP declined to further discuss the allegations.

On 04/03/23 RP forwarded the police report number to IB investigator. IB investigator requested report and received it the same day, 04/03/2023. IB investigator was informed the report was written as an informational report only.

Based on LPA’s interviews conducted and record review, the allegation alleging staff do not provide adequate supervision to the daycare children while in care may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted with Director Tracie Troch. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

End of Report

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2