270709281-10-30-2023-07-CC-JSEA-CYJV2T-20231215150340

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 270709281
Report Date: 10/30/2023
Date Signed: 10/30/2023 02:54:34 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/27/2023 and conducted by Evaluator Cortney Nelson

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20230927103804

FACILITY NAME:	ST. ANGELA'S PRESCHOOL		FACILITY NUMBER:	270709281
ADMINISTRATOR:	HEATHER DIAZ		FACILITY TYPE:	850
ADDRESS:	136 8TH STREET		TELEPHONE:	(831) 372-3555
CITY:	PACIFIC GROVE	STATE: CA	ZIP CODE:	93950
CAPACITY:	88	CENSUS: 41	DATE:	10/30/2023
		UNANNOUNCED	TIME BEGAN:	02:01 PM
MET WITH:	Brandy Griffin-Bagno		TIME COMPLETED:	03:06 PM

ALLEGATION(S):

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Staff does not prevent daycare child(ren) from hitting another daycare child.

Staff was not aware daycare child was having an allergic reaction.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Cortney Nelson, met with Office Manager, Brandy Griffin-Bagno, and explained purpose of visit- deliver complaint investigation findings for the above allegations. LPA was admitted into the facility by a staff member upon arrival and was advised that Site Director, Heather Diaz, has left early for the day.

LPA Nelson conducted interviews with the Site Director and staff members, as well as observed children during lunch and outside play time. LPA did not observe children injuring other children while playing. Staff members and Site Director interviewed did not observe alleged injuries to child in care. A child received medical care for acute allergic reaction on 8/25/2023 in the evening, however last attended the facility on 8/24/2023. No symptoms of allergic reaction were observed at the preschool, based on the available documentation provided for the child's allergy to tree nuts. The Site Director states the child only consumed food provided by her family while attending the facility. Based on the available evidence, it is concluded that although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegations are thus UNSUBSTANTIATED.

As a result of this investigation, no deficiencies were cited. Exit interview was conducted and report was reviewed with Office Manager, Brandy Griffin-Bagno.

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.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023

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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