300600843-2-13-2020-06-CC-MMAK-BLRQR4-20200213112320

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300600843
Report Date: 02/13/2020
Date Signed: 02/13/2020 11:23:24 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

FACILITY NAME:	LANGE, ROBERT H. PRESCHOOL		FACILITY NUMBER:	300600843
ADMINISTRATOR:	YEAKEL, KATHERINE		FACILITY TYPE:	850
ADDRESS:	24772 CHRISANTA DRIVE		TELEPHONE:	(949) 837-2500
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	96	CENSUS: 23	DATE:	02/13/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Director		TIME COMPLETED:	11:45 AM

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	Page 1 of 2 A Case Management investigation was conducted today for the purpose of checking into an unusual incident which was self reported to our office by the facility representative on 1/28/2020. Licensing Program Analyst (LPA), Mahnaz (Nancy) Malek met with staff in charge, Marilyn Sullivan on the playground at arrival time. LPA met with the director, Katherine Yeakel who arrived during LPA's presence. There were a total of 23 preschool children with 4 staff members on the playground. More children and more staff were arriving during LPA's presence. A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility self reported to our office that it was brought to the director's attention that a 4 year old child (child # 1) disclosed to parent that child # 1 was asked by child # 2 to touch child # 1's private part. The director stated she talked to child # 1 who said it happened in child # 1's dream on the playground in the play structure. Today, LPA interviewed the director and a total of 8 staff who are normally supervising the same group of children whom are with child # 1 and child # 2 on the playground. The staff stated they station at four different areas on the playground and they rotate to supervise all the children. The staff stated they did not witness any incident happened between child # 1 and child # 2 on the playground. They make sure they supervise children on the playground and inside the classrooms. LPA interviewed 8 children including child # 1 and child # 2. Child # 1 and child # 2 did not disclose to LPA any unusual incident happen between them. Children stated when they play on the playground teachers are watching them. The rest of the children stated teachers watch them when they play and wherever they go. They named the teacher's names who watch them all the time. Based on the information received after interviewing the staff, and children, there is not a Continued on page 2

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: LANGE, ROBERT H. PRESCHOOL	FACILITY NUMBER: 300600843
	VISIT DATE: 02/13/2020

NARRATIVE

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preponderance of evidence to prove, the alleged violation of lack of supervision did or did not occur.

LPA inspected the playground for any possible blind spots. The director stated they were planning to make some changes to the side of the play structure for proper visual supervision. The director stated they meet with preschool staff of supervision of playground. The facility has followed up with our Department with the appropriate steps taken regarding the unusual incident report. No further action is required.

The Notice of Site Visit was posted. 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. The licensee was provided a copy of their appeal right (LIC 9058 1/16) 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. First level appeal is to Regional Manager, address is above on the report. Facility was advised on how to receive notifications for quarterly updates . Exit interview was conducted with director. No deficiency was cited on today's date.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

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