300600390-12-21-2021-06-CC-THOO-CA8R3V-20211231114032

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300600390
Report Date: 10/12/2021
Date Signed: 12/21/2021 01:20:19 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/08/2021 and conducted by Evaluator Pat Rivas

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20211008163302

FACILITY NAME:	GOOD SHEPHERD PRE SCHOOL		FACILITY NUMBER:	300600390
ADMINISTRATOR:	ALVAREZ-MACKOW, BERNADETTE		FACILITY TYPE:	850
ADDRESS:	7082 CRESCENT AVENUE		TELEPHONE:	(714) 827-6440
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90620
CAPACITY:	74	CENSUS: 12	DATE:	10/12/2021
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Bernadette Alvarez-Mackow		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility staff scratched child's face causing a red mark
Facility staff forced child to eat

INVESTIGATION FINDINGS:

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This report supersedes report issued on 12/12/21.
LIcensing Program Analyst (LPA) P Rivas conducted an unannounced complaint visit in order to investiage the above allegations. Upon arrival LPA met with Staff Kristy Farmer. Ms Alvarez- Mackowiak arrived during children interviews.

Upon arrival at 8:15am two teachers were in classroom #1 with 12 children. Based upon LPA's observation Licensee is operating within the licensed capacity as specified on license.

A review of the Facility Personnel Report Summary and staff files on this date 10/12/2021 at 09:00 AM indicated all facility staff present or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The investigation consisted of Staff file reviews; Five of Five files was reviewed. Five staff interviews (including Director); Interview with Five of Five Parents. Interview with 7 of 12 children. Three children were not interviewed, one had only attended program for a few days, two did not speak.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat Rivas	TELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021

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 06-CC-20211008163302

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GOOD SHEPHERD PRE SCHOOL	FACILITY NUMBER: 300600390
	VISIT DATE: 10/12/2021

NARRATIVE

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In reference to the allegation that facility staff forced child to eat. Date of alleged violation could not be established. Investigation revealed that one staff alleged seeing another staff not allow child to get up from table until food was finished. One staff denied allegation and two staff did not witness alleged incident. LPA interviewed Seven of Twelve Children from 9:00am to 11:00am.. LPA was unable to qualify two children. A third child had only been in the program for a few days. The fourth and fifth child could not communicate with LPA . Six of Twelve children indicated they can stop eating when they want. One of twelve children indicated s/he had could not get up until they finished their food because teacher did not allow it. Five of Five parents were interviewed from 1:00pm to 2:00pm and all indicated there were no issues or concerns with facility.

In reference to the allegation that staff scratched child's face. Staff interviews conducted from 11:00 to 1:00pm indicated; one staff denied allegation, two staff denied seeing staff scratch child's face and fourth staff indicated s/he observed staff scratch child's face not purposely. LPA interviewed Seven of Twelve Children interviewed denied seeing or having their faces scratched by staff. LPA was unable to qualify two children. A third child had only been in the program for a few days. The fourth and fifth child could not communicate with LPA. Five of Five parents interviewed from 1:00pm to 2:00pm all indicated there were no issues or concerns with facility.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat Rivas	TELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021

LIC9099 (FAS) - (06/04)

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