304205867-3-3-2022-06-CC-JHAN-CC82TX-20220304164127

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304205867
Report Date: 03/03/2022
Date Signed: 03/03/2022 10:26:06 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
01/21/2022 and conducted by Evaluator Carmen Odom

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20220121140856

FACILITY NAME:	LEDESMA, NORA E.		FACILITY NUMBER:	304205867
ADMINISTRATOR:	LEDESMA, NORA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 541-1654
CITY:	SANTA ANA	STATE: CA	ZIP CODE:	92706
CAPACITY:	14	CENSUS: 8	DATE:	03/03/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Nora Ledesma - Licensee		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Parent's Rights - licensee is not allowing mother to enter and inspect unannounced

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPAs) Odom and Valdez Santana conducted an unannounced complaint inspection to deliver the findings for the above allegations. This is a continuation of the investigation initiated on 01/28/22. At 9:30am, LPAs met with licensee Nora Ledesma who guided LPA on tour of the facility. Census was taken and there were 2 infants, and 6 preschool age children doing activities in the childcare area.

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 Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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-20220121140856

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: LEDESMA, NORA E.	FACILITY NUMBER: 304205867
	VISIT DATE: 03/03/2022

NARRATIVE

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The Department received a complaint on 1/21/22 alleging licensee is not allowing complaint party (CP) to enter and inspect unannounced. The CP stated, on 1/20/22 at 10:00am they had an appointment to review Child #1 (C1) artwork after an hour into the appointment CP was hurried out the facility. CP returned the following day and asked to enter and inspect the facility, CP was not allowed into the childcare unless CP could provide a copy of COVID-19 vaccines. During an interview on 1/27/22 CP did not have a concern of C1’s health and safety in the childcare.

During the investigation LPA Odom interviewed Complaining Party, Licensee, 2 staff, and 2 parents. LPA Odom reviewed the Children’s Roster, inspected facility COVID-19 protocols and took pictures. Children were not interviewed due to the allegation being Parent’s Rights.

During an interview on 01/28/22, licensee (S1) stated, on 1/20/22 at 10:00am CP had an appointment to review C1’s projects, CP was allowed to enter the off-limit area in the facility but not the childcare area because CP does not verify COVID-19 vaccines. S1 stated the appointment was scheduled for 15 minutes, however, S1 allowed CP to remain in the facility for an hour. After the hour S1 informed CP that S1 had another appointment to attend too. S1 stated, during the pandemic everyone schedules an appointment for any visits to avoid too many people entering and exposing the childcare facility. On 1/21/22, CP requested to enter the childcare area and Staff #2 (S2) informed CP they need to show proof of COVID-19 vaccines due to childcare facility COVID-19 protocols. S1 stated, they verbally informed parents, including CP, at the beginning of the pandemic that the pickup and drop off protocols had changed, and COVID-19 posters were posted outside at the front gate for parents to see the protocols during pick up and drop off.

During the investigation 2 staff members were interviewed on 01/28/22, Staff #2 (S2) stated, on 1/21/22 CP requested to enter the facility, but S2 did not allow CP to enter the facility due to COVID-19 protocols that has been implemented for all parents since the pandemic began. S2 stated CP has been allowed to enter the childcare facility before C1 was enrolled in the childcare, again in August 2021 when there were no children in the childcare, and the last time on 1/20/22 to review C1’s projects. Staff #3 (S3) stated before the pandemic parents were allowed to enter the childcare facility through the childcare playground, but when the pandemic started the children are dropped off at the gate of the facility where the COVID-19 posters are located.
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SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20220121140856

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: LEDESMA, NORA E.	FACILITY NUMBER: 304205867
	VISIT DATE: 03/03/2022

NARRATIVE

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LPA Odom attempted to interview 5 parents, but only 2 parents were available to be interviewed on 02/03/22 and 03/01/22. The parents interviewed disclosed S1 informed the parents of the COVID-19 protocols when they first enrolled their children into the childcare, none of the parents expressed any concerns, and they are satisfied with the childcare. Parent #1 (P1) stated, during COVID-19 S1 verbally informed P1 that no one would be entering the facility due to COVID-19 guidelines and COVID-19 protocols were posted outside the childcare facility.

Based on LPA’s facility inspection, observations, interviews conducted with complaint party, licensee, 2 assistant, and 2 parents, records reviewed, and pictures taken by LPA, it has been determined there was insufficient evidence that Licensee is not allowing CP to enter and inspect unannounced, and all parents, including CP, have been informed of the COVID-19 protocols and signage is posted. 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 conducted and report was reviewed with the licensee Nora Ledesma in Spanish. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) 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.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

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