SBCSS BIG BEAR STATE PRESCHOOL

Type B citation from complaint investigation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected

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 32Report continued from page one The witness stated C1’s wrist was a little red, no medical attention was needed. During the LPA file review of the children’s records on May 8, 2023. LPA observed handwritten case notes regarding children’s behaviors. Some children’s records contained Ouch reports. C1s file contained two handwritten notes from 8/8/22 and 9/30/22 regarding C1’s interactions with other classmates and teachers. Confidential interviews reveal parents, or the Department are not notified if the children are not hurt. The above incidents were not reported to C1’s mother or to the department within the required reporting requirement time frame. Based on confidential interviews and record review, the above allegations are valid because the preponderance of the evidence has been met, therefore, the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, regulation 101223 (a)(3) Personal Rights and 101212 (f) Reporting Requirements are being cited on the attached LIC 9099D. A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted, and the report was reviewed with facility representative Maria Gonzalez. SUPERVISORS NAME: Lady King LICENSING EVALUATOR NAME: Kendal Zirbes LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023 FACILITY NAME: SBCSS BIG BEAR STATE PRESCHOOLFACILITY NUMBER: 367750048 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 06/15/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/29/2023 Section Cited CCR 101223(a)(3)1 2 3 4 5 6 7101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights (3): To be free from corporal or unusual punishment…humiliation…mental abuse or other actions of a punitive nature…This requirement was not met as evidenced by: 1 2 3 4 5 6 7Per Facility Representative, a plan will be submitted to the Department by 6/29/23 regarding how the Center will correct the situation to ensure that this does not happen again. 8 9 10 11 12 13 14Based on interviews and record review, C1 was not free from unusual punishment on more than one occasion between Sept, 2022 and Nov 2022 when S1 handled C1 in a rough manner. C1 did not receive medical attention. This posed a potential personal rights risk to the children in care. 8 9 10 11 12 13 14 Type B 06/29/2023 Section Cited CCR 101212(f)1 2 3 4 5 6 7101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement was not met as evidenced by: 1 2 3 4 5 6 7Per Facility Representative, a plan will be submitted to the Department by 6/29/23 regarding how the Center will correct the situation to ensure that this does not happen again. 8 9 10 11 12 13 14Based on interviews and record review, the licensee did not ensure that an unusual incident involving C1 in November 2022 was reported to C1 authorized representative. This posed a potential personal rights risk to the children in care. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Lady King LICENSING EVALUATOR NAME: Kendal Zirbes LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023

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 32Report continued from page one The witness stated C1’s wrist was a little red, no medical attention was needed. During the LPA file review of the children’s records on May 8, 2023. LPA observed handwritten case notes regarding children’s behaviors. Some children’s records contained Ouch reports. C1s file contained two handwritten notes from 8/8/22 and 9/30/22 regarding C1’s interactions with other classmates and teachers. Confidential interviews reveal parents, or the Department are not notified if the children are not hurt. The above incidents were not reported to C1’s mother or to the department within the required reporting requirement time frame. Based on confidential interviews and record review, the above allegations are valid because the preponderance of the evidence has been met, therefore, the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, regulation 101223 (a)(3) Personal Rights and 101212 (f) Reporting Requirements are being cited on the attached LIC 9099D. A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted, and the report was reviewed with facility representative Maria Gonzalez. SUPERVISORS NAME: Lady King LICENSING EVALUATOR NAME: Kendal Zirbes LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023 FACILITY NAME: SBCSS BIG BEAR STATE PRESCHOOLFACILITY NUMBER: 367750048 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 06/15/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/29/2023 Section Cited CCR 101223(a)(3)1 2 3 4 5 6 7101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights (3): To be free from corporal or unusual punishment…humiliation…mental abuse or other actions of a punitive nature…This requirement was not met as evidenced by: 1 2 3 4 5 6 7Per Facility Representative, a plan will be submitted to the Department by 6/29/23 regarding how the Center will correct the situation to ensure that this does not happen again. 8 9 10 11 12 13 14Based on interviews and record review, C1 was not free from unusual punishment on more than one occasion between Sept, 2022 and Nov 2022 when S1 handled C1 in a rough manner. C1 did not receive medical attention. This posed a potential personal rights risk to the children in care. 8 9 10 11 12 13 14 Type B 06/29/2023 Section Cited CCR 101212(f)1 2 3 4 5 6 7101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement was not met as evidenced by: 1 2 3 4 5 6 7Per Facility Representative, a plan will be submitted to the Department by 6/29/23 regarding how the Center will correct the situation to ensure that this does not happen again. 8 9 10 11 12 13 14Based on interviews and record review, the licensee did not ensure that an unusual incident involving C1 in November 2022 was reported to C1 authorized representative. This posed a potential personal rights risk to the children in care. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Lady King LICENSING EVALUATOR NAME: Kendal Zirbes LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023

Type B citation - potential risk if not corrected