300610625-2-2-2024-06-CC-JHAN-D2APN6-20240209102723

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300610625
Report Date: 02/02/2024
Date Signed: 02/02/2024 01:19:37 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
11/06/2023 and conducted by Evaluator Romelia M Castanon

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20231106162536

FACILITY NAME:	SILVERADO MODJESKA CHILDRENS CENTER		FACILITY NUMBER:	300610625
ADMINISTRATOR:	BRIGGS, LAURIE		FACILITY TYPE:	850
ADDRESS:	7525 SANTIAGO CANYON ROAD		TELEPHONE:	(714) 649-2214
CITY:	SILVERADO	STATE: CA	ZIP CODE:	92676
CAPACITY:	62	CENSUS: 25	DATE:	02/02/2024
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Director Laurie Briggs		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Romy Castanon conducted an unannounced complaint inspection to investigate the above allegations and deliver findings. This is a continuation of the investigation initiated on 11/15/2023 by Licensing Program Analyst Araceli Bootorabi.

Upon arrival, the LPA met with the director, Laurie Briggs, and informed her of the purpose of the investigation inspection. At 12:00pm Director guided LPA Castanon on tour of the facility. LPA observed a total of 25 children with 4 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.

The Department received a complaint on 11/06/2023 alleging the facility is operating out of ratio.
(Continue to page 2)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Romelia M Castanon	TELEPHONE: (714) 743-8565
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2024

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-20231106162536

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: SILVERADO MODJESKA CHILDRENS CENTER	FACILITY NUMBER: 300610625
	VISIT DATE: 02/02/2024

NARRATIVE

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On initial investigation visit to the facility on 11/15/2023, LPA Bootorabi interviewed 5 staff members at the facility with regards to allegation facility operating out of ratio.
1 of 5 staff reported the facility has operated out of ratio. Staff #2 (S2) stated the facility has been left out of the ratio on multiple occasions due to staffing issues. LPA Bootorabi provided a copy Title 22 regulation section on ratio and discussed the ratio regulation with the director.

During the 11/15/2023 initial visit to the facility, children were not interviewed.

On, 02/01/2024, LPA Castanon interviewed Director, as well as, Staff #5 (S5) for additional information. LPA Castanon also interviewed 2 out of 6 parents. Parents did not disclose any pertinent information relating to the allegations of the complaint. LPA audited staff timesheets and children's attendance records for one week in October 2023. LPA Castanon verified the facility was not operating out of ratio at the time.

Based on LPA Bootorabi’s facility inspection, interviews conducted with 5 staff, and LPA’s interview with parents, it has been determined facility has operated out of ratio. Therefore, the preponderance of evidence standard has been met, the above allegation is found to be Substantiated. California Code of Regulations, Title 22, 101216.3(a) Teacher-Child ratio is being cited on the attached LIC 9099D.

LPA Castanon informed Director Laurie Briggs that this report dated 02/02/2024 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA Castanon informed Director Laurie Briggs to provide a copy of this licensing report dated 02/02/2024 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted, and the report was reviewed with Laurie Briggs. Notice of Site Visit was posted during the visit. The director was informed that the notice of the site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.

Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. (End of Reports)

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Romelia M Castanon	TELEPHONE: (714) 743-8565
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2024

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20231106162536

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: SILVERADO MODJESKA CHILDRENS CENTER	FACILITY NUMBER: 300610625
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/02/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/05/2024 Section Cited CCR 101216.3(a)	1 2 3 4 5 6 7	101216.3(a) Teacher-Child Ratio. There shall be a ratio of one teacher supervising no more than 12 children in attendance except as specified in (b) and (c). This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Director has hired a staff member and will continue to hire staff. Director states they also have an aide to assist in the classrooms. The facility has paused new child enrollments. Director also utilizes a substitute company to assist throughout the day. Director will email LPA Castanon teacher exception request by POC date.
	8 9 10 11 12 13 14	Based on LPA Bootorabi's staff interviews it was determined that Staff #3 had been left alone with children for 10 minutes due to staffing issues. This poses an immediate safety risk for the children in care.	8 9 10 11 12 13 14
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	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: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Romelia M Castanon	TELEPHONE: (714) 743-8565
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2024

LIC9099 (FAS) - (06/04)

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