300603894-5-27-2021-06-CC-JHAN-C3L29P-20210601171215

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300603894
Report Date: 05/27/2021
Date Signed: 05/27/2021 10:11:31 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
03/22/2021 and conducted by Evaluator Cindy Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210322162354

FACILITY NAME:	ANNELIESE'S PRESCHOOL INCORPORATED AT ALISO		FACILITY NUMBER:	300603894
ADMINISTRATOR:	BANA, WENDY		FACILITY TYPE:	850
ADDRESS:	21542 WESLEY DRIVE		TELEPHONE:	(949) 499-5527
CITY:	LAGUNA BEACH	STATE: CA	ZIP CODE:	92651
CAPACITY:	100	CENSUS: 41	DATE:	05/27/2021
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Director, Wendy Bana		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Teacher Child Ratio

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cindy Nguyen conducted an unannounced inspection to investigate the above allegation. This is a continuation of the investigation initiated on 03/29/2021. LPA met with the Director Wendy Bana and discussed the above allegation. LPA toured the facility inside and outside. Census was taken in individual classrooms. There was a total of 41 preschool children and 7 staff members including the director.

During today's inspection staffing and capacity ratios were met. A review of staff criminal clearance records on this date indicates all facility staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Continued on Page 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

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-20210322162354

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: ANNELIESE'S PRESCHOOL INCORPORATED AT ALISO	FACILITY NUMBER: 300603894
	VISIT DATE: 05/27/2021

NARRATIVE

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Page 9099C

On 03/22/2021 a complaint was filed with the Licensing Office. Complainant alleged that the facility is always short staffed. (1) On 03/22/21 at 10:15am, 13 children with one staff in the 3-year-old room, also (2) 36 children with two staff were observed on the playground around 9:30am for the past three weeks.

During the investigation LPA conducted 2 physical inspections, interviewed 7 staff members, 2 children, obtained staff timecard, children’s sign in/out and a copy of the children's roster. All staff interviewed denied of operating out of ratio. Staff in 3-year-old classroom stated normal numbers of children is 14 with 2 staff since classroom is with the younger children. 3-year-old staff denied ever been out of ratio. When questioned about the outdoor ratio, staff stated normal numbers of children is 30, but it depends on the days, however, never have more than 36 children in the yard at any given time. Staff stated there is at least 3 or 4 staff outside depending on the number of children. Staff denied ever being out of ratio and that the ratio of 1:12 applies to inside or outside of the classroom.

LPA completed a review of staff timecards and children’s sign-in/out sheets for the week of 03/22/21 to 03/26/21. After a thorough review, the documentation doesn’t support the allegation.

Based on the records reviewed, there appeared to be enough staff present to maintain ratio with the number of children signed in. However, there is no way to determine where the staff were stationed within the facility.

All parents interviewed stated the facility is great. Due to COVID-19 the facility is not allowing parents inside. The children are currently being drop off at the front gate of the school. No parent expressed any concerns about the facility being out of ratio. Children interviewed stated there is usually three staff outside with them.

Based on LPA observations, interviews which were conducted and record reviews, the preponderance of evidence was not met, therefore the above allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Continued on Page 9099C

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20210322162354

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: ANNELIESE'S PRESCHOOL INCORPORATED AT ALISO	FACILITY NUMBER: 300603894
	VISIT DATE: 05/27/2021

NARRATIVE

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Page 9099C

Exit interview was conducted with Director, Bana, Wendy. Report reviewed and discussed. 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. Appeal rights provided and explained. The director/licensee was provided a copy of their appeal rights (LIC 9058 12/16) and their signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC9099 (FAS) - (06/04)

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