100406466-11-10-2021-04-CC-DMAA-C8SSTL-20211115130943

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100406466
Report Date: 11/10/2021
Date Signed: 11/10/2021 02:27:05 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/20/2021 and conducted by Evaluator Rene Mancinas

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210820105544

FACILITY NAME:	LINCOLN PRESCHOOL		FACILITY NUMBER:	100406466
ADMINISTRATOR:	LORI WELCH		FACILITY TYPE:	850
ADDRESS:	1700 FOURTEEN STREET		TELEPHONE:	(559) 524-6411
CITY:	SANGER	STATE: CA	ZIP CODE:	93657
CAPACITY:	42	CENSUS: 9	DATE:	11/10/2021
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Lori Welch		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff left day care child unattended.

INVESTIGATION FINDINGS:

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

On 11/10/2021 Licensing Program Analyst (LPA) Rene Mancinas, conducted an unannounced complaint inspection to provide a finding regarding the allegation. LPA met with Coordinator of Early Education-Preschool, Lori Welch, and Supervisor of Preschool Instructional Support, Sandra Olivo.

During the course of the investigation, LPA Mancinas interviewed staff, and reviewed and obtained facility records. Interviews and records revealed that on 08/19/2021, a child was left unattended in the classroom restroom, while the remainder of the staff and children had walked to the school cafeteria for meal consumption.

Based on investigation conducted and evidenced obtained, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED.
(Continued on 9099-C)

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene Mancinas	TELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

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 3

Control Number 04-CC-20210820105544

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LINCOLN PRESCHOOL	FACILITY NUMBER: 100406466
	VISIT DATE: 11/10/2021

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

Per California Code of Regulations Title 22 Division 12 Chapter 1, the following deficiency is being cited today (See 9099-D). Appeal rights were provided.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee must have all parents of enrolled children sign the Acknowledgement of Receipt of Licensing Reports and must retain a copy in each child’s file.

Since the date of the incident (08/19/2021), Coordinator of Early Education-Preschool, Lori Welch, took immediate action to prevent a similar incident from occurring. The following measures were taken:

- Safety & Supervision protocols were provided to all preschool staff on 08/19/2021.
- Safety & Supervision meeting took place with all preschool staff in-person on 08/20/2021.
- Facility implemented ‘How many friends are here today? Let’s count together!’ signs at facility. Signs are posted near exit points.
- Lori Welch conducted on-site observations on 08/20/2021 to ensure preschool staff were following safety & supervision protocols.

Exit interview conducted with Lori Welch and Sandra Olivo.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene Mancinas	TELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 04-CC-20210820105544

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LINCOLN PRESCHOOL	FACILITY NUMBER: 100406466
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/10/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/10/2021 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as	1 2 3 4 5 6 7	Since date of incident, facility has implemented staff training, meetings, and new protocols (i.e. sign postings & counting procedures) to prevent similar incident from occurring. Deficiency cleared during today's inspection.
	8 9 10 11 12 13 14	evidenced through statements collected through interviews with staff. Staff interviewed acknowledged a child was left unattended without supervision. This poses an immediate risk to the health, safety, and personal rights of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene Mancinas	TELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 3