304270808-1-10-2020-06-CC-PMAA-BLKQ96-20200207105748

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304270808
Report Date: 01/08/2020
Date Signed: 01/10/2020 08:13:13 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
12/10/2019 and conducted by Evaluator Jordann Nelson

COMPLAINT CONTROL NUMBER: 06-CC-20191210202459

FACILITY NAME:	CYPRESS LEARNING TREE		FACILITY NUMBER:	304270808
ADMINISTRATOR:	ERICKSON, MANDY		FACILITY TYPE:	850
ADDRESS:	5417 BISHOP STREET		TELEPHONE:	(714) 527-2744
CITY:	CYPRESS	STATE: CA	ZIP CODE:	90630
CAPACITY:	84	CENSUS: 59	DATE:	01/08/2020
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Mandy Erickson SIte Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Facility is unsanitary

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jordann Nelson conducted a complaint investigation regarding the above allegation. LPA met with the site director Mandy Erickson who guided LPA Nelson on a tour of the center. Staff and children were present at the time of the visit.

A review of the Facility Personnel Summary on 12/17/19 indicates that all staff have criminal background clearance check clearances and are properly associated to the center.

The complaint alleged that Facility is unsanitary due to the fact that a child in care stepped into cat fecal matter. The complainant stated that the school’s sandbox has cat fecal matter. The complainant stated that a child stepped into fecal matter in the sand box the teacher cleaned the complaint child’s shoe, and that nothing was said to complainant.
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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jordann Nelson	TELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

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-20191210202459

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: CYPRESS LEARNING TREE	FACILITY NUMBER: 304270808
	VISIT DATE: 01/08/2020

NARRATIVE

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During the investigation, LPA reviewed the LIC 500 (work schedule), interviewed the complainant, the site director, 5 teachers and 6 children who were in attendance at the child care center on 12/17/2019.

Interviews conducted with the center site director, teachers, and children revealed and confirmed that the center does have a stray cat issue in the surrounding neighborhood. At unknown times throughout the day stray cats will come onto the child care center grounds and leave fecal matter in the sandbox or the grass areas. Interviews were conducted with children who attend the preschool revealed that they have sometimes seen fecal matter from stray cats in the sand box or grass areas.

The site director stated that they do remove fecal matter immediately, if she or any preschool teachers see it. The site director stated that there are times that they may not be able to catch all fecal remains that the stray cats may leave behind.

Based on interviews, records reviewed, the licensee failed to keep the facility grounds clean and sanitary at all times. Therefore, the preponderance of evidence standard has been met and the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 12, 101238 (a) Buildings and Grounds is being cited on the attached LIC 9099D.

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SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jordann Nelson	TELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20191210202459

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: CYPRESS LEARNING TREE	FACILITY NUMBER: 304270808
	VISIT DATE: 01/08/2020

NARRATIVE

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Exit interview was conducted. Notice of Site Visit was posted during the visit. Licensee 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. Licensee was provided with 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. A copy of this report was provided to the licensee.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jordann Nelson	TELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20191210202459

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: CYPRESS LEARNING TREE	FACILITY NUMBER: 304270808
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/08/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/08/2020 Section Cited HSC 101238	1 2 3 4 5 6 7	101238(a) Buildings and Grounds The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors... This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee will develop a plan to tarp cover the sand boxes and rake the sand box daily prior to children playing in the sandbox area. The licensee will keep a log on cleaning of the sandbox.The plan will be sent to the LPA in 7 days to confirm completion.
	8 9 10 11 12 13 14	Based on interviews and record reviews, The Licensee failed to keep cat fecal matter out of the sandbox where the children play,which creates an unsanitary enviorment for the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Jordann Nelson	TELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

LIC9099 (FAS) - (06/04)

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