198014862-7-13-2022-54-CC-KCHS-CGBP8U-20220714110608

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198014862
Report Date: 07/13/2022
Date Signed: 07/13/2022 04:14:42 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2022 and conducted by Evaluator Elka Chavez

COMPLAINT CONTROL NUMBER: 54-CC-20220401085657

FACILITY NAME:	CALVARY CHAPEL CHRISTIAN PRESCHOOL		FACILITY NUMBER:	198014862
ADMINISTRATOR:	BLANCA SANCHEZ		FACILITY TYPE:	850
ADDRESS:	12808 WOODRUFF AVENUE		TELEPHONE:	(562) 299-9100
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90242
CAPACITY:	95	CENSUS: 22	DATE:	07/13/2022
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Christy Leonard		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility failed to notify child's authorized representative of type A deficiencies.

INVESTIGATION FINDINGS:

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

* This is an amended report to change the findings from substantiated to unsubstantited.
Licensing Program Analyst (LPA) Elka Chavez conducted an unannounced inspection on July 13, 2022 at 2:30 PM. LPA met with Facility Representative, Christy Leonard to amend the findings from substantiated to unsubstantiated on report dated April 7 2022. At the time of arrival LPA observed 22 children in care with 5 staff.

After furtner review from the Department the findings have were changed. Although the allegation 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 at this time the above allegation is unsubstantiated
A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Facility Representative, Christy Leonard.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka Chavez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2022

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