300600557-12-11-2019-06-CC-RLOZ-BJZPQN-20191219103125

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300600557
Report Date: 12/11/2019
Date Signed: 12/11/2019 01:17:52 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
09/11/2019 and conducted by Evaluator Gesine Connolly

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20190911120343

FACILITY NAME:	LA CRISTIANITA PRE SCHOOL		FACILITY NUMBER:	300600557
ADMINISTRATOR:	DOWNIE, LEIGH ANN		FACILITY TYPE:	850
ADDRESS:	35522 CAMINO CAPISTRANO		TELEPHONE:	(949) 496-1405
CITY:	SAN CLEMENTE	STATE: CA	ZIP CODE:	92672
CAPACITY:	85	CENSUS: 79	DATE:	12/11/2019
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Leigh Ann Downie		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Licensee is operating beyond the scope of their license

INVESTIGATION FINDINGS:

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A return complaint inspection is being made today by licensing Program Analyst (LPA) Connolly due to an allegation received in the licensing office 9/11/19 that the facility was operating beyond the scope of their license. Specifically the facility had established a classroom in the sanctuary for which the Department had not completed a site visit. Prior complaint inspection for this allegation was made 9/19/19 when the facility, including the classroom in the sanctuary, was toured, five staff interviewed and documents received regarding the operation of the preschool.

During today’s inspection LPA met with director Leigh Ann Downie who guided the LPA on a tour of the facility.
There were a total of 79 children (73 preschoolers and 6 toddlers) and 12 staff including the director observed. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances.

Continued on page two

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gesine Connolly	TELEPHONE: (714) 293-9314
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

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-20190911120343

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: LA CRISTIANITA PRE SCHOOL	FACILITY NUMBER: 300600557
	VISIT DATE: 12/11/2019

NARRATIVE

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During today's complaint inspection three children who attend the classroom in the sanctuary were interviewed. Children denied other activities in the sanctuary while they are in the sanctuary classroom except that currently children are practising for an upcoming play in the sanctuary.

Children are in the established sanctuary classroom Monday through Friday from 0900 AM to 11:30 AM. Ten children are enrolled in this class. A review of documents have verified the facility notified licensing to establish a classroom in the sanctuary as per regulation any changes in the plan of operation that affect services to children need to be reported to licensing. Licensing has requested a fire clearance. One fire clearance is in place for the sanctuary through the Church. The director provided a copy during today's complaint inspection.

During the exit interview the director and LPA discussed the regulation that In the licensing process for changes in the plan of operation when an approved fire clearance has been received the Department has completed a site visit to the child care center. This has not occurred. Therefore the director was informed that based on LPA's observations, interviews and record reviews the preponderance of evidence standard has been met, therefore, the allegation licensee is operating beyond the scope of their license is found substantiated. The following violation is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 101152(11)(B), on the attached LIC 809D.

Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the licensing office within 15 business days.

Notice of Site Visit was posted. The facility representative was informed that the 'Notice of Site Visit' must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The 'Notice of Site Visit' must be posted on or adjacent to the door.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gesine Connolly	TELEPHONE: (714) 293-9314
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 06-CC-20190911120343

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: LA CRISTIANITA PRE SCHOOL	FACILITY NUMBER: 300600557
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/11/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/13/2019 Section Cited CCR 101152(11)(B)	1 2 3 4 5 6 7	101152 (11)(B) Definitions The Department has completed a site visit to the child care center following reception of all required materials including an approved fire clearance from the State Fire Marshal. This regulation has not been met as evidenced by LPA's observation of children attending the	1 2 3 4 5 6 7	The director said she will submit the plan she will implement that ensures the facility will abide by the regulation that requires a Department site visit to be completed before the establishment of a change in the plan of operation that affect services to children.
	8 9 10 11 12 13 14	preschool in a classroom established in the sanctuary. A Department site visit has not been completed . This poses a potential risk to the health and safety 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: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gesine Connolly	TELEPHONE: (714) 293-9314
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

LIC9099 (FAS) - (06/04)

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