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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300607186
Report Date: 12/18/2023
Date Signed: 12/18/2023 09:33:35 AM

Substantiated


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
10/04/2023 and conducted by Evaluator Cindy Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20231004145123
FACILITY NAME:UNITED METHODIST CHURCH OF GOOD SHEPHERDFACILITY NUMBER:
300607186
ADMINISTRATOR:ANA FLORESFACILITY TYPE:
840
ADDRESS:8152 MCFADDEN AVENUETELEPHONE:
(714) 894-4330
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:11CENSUS: 2DATE:
12/18/2023
UNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Director, Lynn NguyenTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff are not arriving in a timely manner to pick day-care children up.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cindy Nguyen conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 10/10/2023. Upon arrival LPA met with the Director, Lynn Nguyen who accompanied LPA on a tour of the facility. Census was taken as follows: two school age children with one staff member. A review of staff criminal records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.

On 10/04/2023 a complaint was filed with the Department alleging that staff are not arriving in a timely manner to pick daycare children up. During the investigation, LPA Nguyen conducted 2 physical plant inspections, interviewed 3 staff members, 4 parents, obtained a parent handbook, classroom’s schedule, and a copy of the children's roster.

Continued on 9099C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
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 6
Control Number 06-CC-20231004145123
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: UNITED METHODIST CHURCH OF GOOD SHEPHERD
FACILITY NUMBER: 300607186
VISIT DATE: 12/18/2023
NARRATIVE
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Page 9099C

Complainant alleged that a child was released to a parent because staff from the daycare did not arrive at the school grounds to pick the children. Complainant stated that a staff member was found in the car in the parking lot but did not enter the school grounds to pick up the kindergartners. In addition, on 10/03/23, the complainant reported that staff were late picking up day care children from school, and the children had to wait in the office.

During the staff interviews, Staff #1 (S1) disclosed that at 2:35pm, S1 received a call from elementary school stated that 3 students were waiting in the office because our facility staff were late, S1 told the office that a staff was sent to pick up the kids’ long time ago. S1 called Staff #3 (S3) right away, and S3 told S1 that staff was unable to park in the teacher’s spot and was asked by the school supervisor to move the van, that was the reason why S3 was late, and S3 was in the front of the school, instead of the back. S1 called the elementary office back to explain the situation, then the elementary office released the children and said everything was ok, next time, the facility van can park in the teacher’s parking space. When S1 questions S3 about a child that was released to a parent, S3 stated a child was with another parent when S3 got there at the elementary school, and S3 thought that was the child’s mother. S3 is no longer working at the facility, LPA called and left multiples messages for staff to call back, S3 did not return calls.

LPA interviewed S2 who stated on the day of the incident, staff was off. S2 states never being late to pick up the children, S2 has a spot where they stand, and the older children come to staff and the younger children are released to staff once teacher sees S2.

LPA Nguyen interviewed three children in care, two out of the three children stated that facility staff have been late picking them up from elementary school, so they waited in the elementary school office.

LPA called 8 parents, LPA was able to interview 3 parents on 10/23/23. All parents interviewed made no disclosures.

Based on the information gathered from LPA's interviews with 2 staff members , 4 parents, 3 chidlren and reviewing records of facility's Parent Handbook by LPA, it has been determined that facility staff are not arriving in a timely manner to pick day-care children up. Continued on Page 9099C
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 06-CC-20231004145123
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: UNITED METHODIST CHURCH OF GOOD SHEPHERD
FACILITY NUMBER: 300607186
VISIT DATE: 12/18/2023
NARRATIVE
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Page 9099C

The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, 101223(a)(3) Personal Rights are being cited on the attached LIC9099D.

Exit interview was conducted with Director Lynn, Nguyen. 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: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 06-CC-20231004145123
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: UNITED METHODIST CHURCH OF GOOD SHEPHERD
FACILITY NUMBER: 300607186
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/18/2023
Section Cited
CCR
101223(a)(2)
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101223(a)(2) Personal Rights (a) The licensee shall ... personal rights: (2) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment to meet his/her needs. This requirement was not met evidence by:
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Director stated S3 is no longer working at the facility, the facility have hired a new driver, and haven't had any issues with picking the children up.
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Based on interviews conducted by LPA, it was determined that the facility staff are not arriving in a timely manner to pick day-care children up. This is a potential Health and Safety risk to the children in care.
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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: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 6
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
10/04/2023 and conducted by Evaluator Cindy Nguyen
COMPLAINT CONTROL NUMBER: 06-CC-20231004145123

FACILITY NAME:UNITED METHODIST CHURCH OF GOOD SHEPHERDFACILITY NUMBER:
300607186
ADMINISTRATOR:ANA FLORESFACILITY TYPE:
840
ADDRESS:8152 MCFADDEN AVENUETELEPHONE:
(714) 894-4330
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:11CENSUS: 2DATE:
12/18/2023
UNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Director, Lynn NguyenTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility allowed an under age staff member to transport day-care children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
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13
Licensing Program Analyst (LPA) Cindy Nguyen conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 10/10/2023. Upon arrival LPA met with the Director, Lynn Nguyen who accompanied LPA on a tour of the facility. Census was taken as follows: two school age children with one staff member. A review of staff criminal records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.

On 10/04/2023 a complaint was filed with the Department alleging that the facility allowed an underage staff member to transport day-care children. During the investigation, LPA Nguyen conducted 2 physical plant inspections, interviewed 2 staff members, obtained a parent handbook, classroom’s schedule, and a copy of the children's roster.

Continued on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 06-CC-20231004145123
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: UNITED METHODIST CHURCH OF GOOD SHEPHERD
FACILITY NUMBER: 300607186
VISIT DATE: 12/18/2023
NARRATIVE
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Page 9099C

Complainant alleged that there is an Asian staff member that picks the children up from school, appears to be about 16 years old. The complainant described the staff as dark hair, skinny, and short.

During the staff interviews, all 2 interviewed staff gave consistent disclosers regarding facility's doesn’t have anyone underage works here.

LPA called 8 parents; LPA was able to interview 3 parents on 10/23/23. All parents interviewed made no disclosures.

LPA review staff records on 10/10/23, during record review of staff files, none of the staff working at the facility are underage. LPA was able to identify the two staff that picked up the children, both staff’s files were review.

Based on the information gathered from LPA's interviews with 2 staff members, 4 parents, and reviewing records of staff there’s insufficient evidence to corroborate the allegation that facility allowed an underage staff member to transport day-care children. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Exit interview was conducted with Director Lynn Nguyen. 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: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 6