306003903-8-15-2024-22-CR-AVAA-D8HK3Z-20240826073333

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003903
Report Date: 08/15/2024
Date Signed: 08/15/2024 12:29:18 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/20/2023 and conducted by Evaluator Charmaine Linley

PUBLIC

COMPLAINT CONTROL NUMBER: 22-CR-20231120085617

FACILITY NAME:	CYNCO CHILD CARE		FACILITY NUMBER:	306003903
ADMINISTRATOR:	CORAZON ARANDA		FACILITY TYPE:	730
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	0	CENSUS: 3	DATE:	08/15/2024
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Rose Higley-Lagoc		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in client biting a minor in care

INVESTIGATION FINDINGS:

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On August 15, 2024, at 12:10 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Rose Higley-Lagoc, Facility Manager, to discuss the investigative finding for the allegation noted above. LPA Guadalupe Munoz conducted an inspection of the facility on November 22, 2023, at 1:30 pm and no deficiencies were observed. LPA Linley interviewed two staff (S1-2), and LPA was unable to interview two clients (C1-2) and four staff (S3-6), despite multiple attempts to contact them. The following documents were reviewed during the investigation: Special Incident Reports, Staff Schedule, Personnel Report, C1 Individual Program Plan (IPP), C2 Individual Program Plan (IPP), and C1 medical visit summary.

On November 30, 2023, Community Care Licensing (CCL) received an allegation that staff did not provide adequate supervision resulting in client biting a minor in care. It was reported that a mark was observed

***CONTINUED ON NEXT PAGE

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ann Valenzuela	TELEPHONE: (951) -782-4968
LICENSING EVALUATOR NAME: Charmaine Linley	TELEPHONE: 951-202-1850
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024

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 22-CR-20231120085617

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: CYNCO CHILD CARE	FACILITY NUMBER: 306003903
	VISIT DATE: 08/15/2024

NARRATIVE

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on C1 and C2 bit C1, resulting in the mark. Confidential interviews revealed conflicting statements on how C1 received the mark. Due to being unable to interview all individuals, although multiple attempts were made, confidential interviews did not corroborate the allegation with a preponderance of evidence.

Based on confidential interviews and records reviewed the allegation that staff did not provide adequate supervision resulting in C2 biting C1 in care, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time.

An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Rose Higley-Lagoc. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights was emailed to the Administrator. A copy of this report will be placed in the facility file.

SUPERVISOR'S NAME: Ann Valenzuela	TELEPHONE: (951) -782-4968
LICENSING EVALUATOR NAME: Charmaine Linley	TELEPHONE: 951-202-1850
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024

LIC9099 (FAS) - (06/04)

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