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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300603211
Report Date: 03/18/2022
Date Signed: 03/18/2022 10:46:24 AM



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
01/18/2022 and conducted by Evaluator Carmen Odom
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220118155335
FACILITY NAME:LIGHT OF CHRIST LUTHERAN PRESCHOOLFACILITY NUMBER:
300603211
ADMINISTRATOR:GROBELCH, SHERYLFACILITY TYPE:
850
ADDRESS:18182 CULVER DRIVETELEPHONE:
(949) 786-3997
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY:64CENSUS: 39DATE:
03/18/2022
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Sheryl Groblech - Director TIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff handled day care child in an inappropriate manner.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Odom conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 01/26/2022. Upon arrival LPA met with Director, Sheryl Grobelch, to deliver complaint findings. Director guided LPA on a tour of the facility. LPA observed a total of 39 children and 8 staff; 5 preschool children in Room #3 (2 year old) with 2 Staff, 12 preschool children in Room #2 (3 year old) with 1 Staff, 10 preschool children in Room #1 (4 year old) with 2 Staff, 10 preschool children in Room #4 (5 year old) with 2 Staff, and 2 preschool children in Room #5 (5-6 year old) with 1 staff.

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 or exemptions.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
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
Control Number 06-CC-20220118155335
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: LIGHT OF CHRIST LUTHERAN PRESCHOOL
FACILITY NUMBER: 300603211
VISIT DATE: 03/18/2022
NARRATIVE
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The department received a complaint on 01/18/22, Complainant Party (CP) alleging staff handled day care child in an inappropriate manner. CP stated, on 1/10/22 Child #1 (C1) had an accident at the childcare center. The childcare center notified CP after the incident occurred and provided a written Ouch Report of the incident. CP did not pick up C1 from the childcare after the incident and did not take C1 for medical attention. CP stated, during pick up C1 was acting normal and a bump was not observed on C1’s head.

During the investigation LPA Odom interviewed complaining party, director, 2 staff members, and 4 parents. LPA reviewed the Children’s Roster, personnel report, and ouch report. LPA did not interview children due to limited verbal communication.

During the investigation, Director (S1) was interview on 01/26/22. S1 stated, if a child has an injury staff will communicate with the parents immediately and write an Ouch report. If a child obtains a minor injury the staff will care for the injury by placing a band aid or placing an ice pack and writing an ouch report. S1 stated, staff are trained in handling difficult behavioral situations by calming the child down, then speaking with the child, and using kind words by saying sorry to each other.

During the investigation, 2 staff members were interviewed on 01/26/22. Staff #2 (S2) stated, there was an incident with C1, C1 was pulling on S2’s shirt from the back, S2 swiped their hands down their shirt to remove C1 hands because S2 was afraid of falling on top of C1. When C1’s hands were removed from S2’s shirt, C1 fell back and bumped their head on the floor, S2 attended to C1’s injury by soothing C1, checking for any red marks, or bumps, notifying parent, writing an Ouch report, and informing afternoon staff to monitor C1. S2 stated, parent was notified after the incident and parent seemed ok to leave C1 at the childcare center for the rest of the day. Staff #3 (S3) stated, they did not observe the incident on 01/10/22 with S2 and C1. S3 stated, C1 has pulled on S3’s shirt in the past because C1 is none verbal and gets frustrated at times. S3 stated, S2 is a good teacher and has patients with all the children. S3 stated, the childcare discipline policies are to calm child down, speak with the child and if the child is fighting, they are placed on time out for 1 minute per year according to their age.

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SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20220118155335
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: LIGHT OF CHRIST LUTHERAN PRESCHOOL
FACILITY NUMBER: 300603211
VISIT DATE: 03/18/2022
NARRATIVE
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LPA attempted to interview 11 parents on 03/17/22, however only 4 parents were available for interviews. None of the parents disclosed any concerns with the childcare. All of the parents are satisfied with the care of their children and they have good communication with the Director and staff.

Based on LPA facility inspection, observations, interviews conducted with complainant party, director, 2 staff members, 4 parents and records reviewed it was determined there was insufficient evidence to confirm that S2 handled C1 in an inappropriate manner. 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.

Exit interview was conducted with Director Sheryle Grobelch. Notice of Site Visit was posted during the visit. Director 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. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
LIC9099 (FAS) - (06/04)
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