<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270866
Report Date: 01/08/2020
Date Signed: 01/08/2020 12:24:22 PM



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
10/01/2019 and conducted by Evaluator Sherene Hawkins
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20191001163142
FACILITY NAME:SALVATION ARMY, TUSTIN RANCH-CREATOR'S CORNER, THEFACILITY NUMBER:
304270866
ADMINISTRATOR:MITCHELL, CHRISTINEFACILITY TYPE:
850
ADDRESS:10200 PIONEER ROADTELEPHONE:
(714) 210-6040
CITY:TUSTINSTATE: CAZIP CODE:
92782
CAPACITY:112CENSUS: 89DATE:
01/08/2020
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Christine MitchellTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not reporting child illnesses to the authorized representatives.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) S. Hawkins conducted a follow up investigation regarding a complaint of a reporting requirement allegation which was initiated on 10/4/19. During today’s visit LPA provided the complaint findings to the Director Christine Mitchell. LPA toured the center including all activity/classroom areas, and outdoor play areas. Upon arrival current census observed was 89 preschool children with 13 staff. A review of staff records on this date indicates 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 alleging that the facility staff are not reporting child illnesses to the authorized representatives. During the investigation, LPA interviewed five staff, two parents, and reviewed facility records regarding the above allegation. Director reported after receiving multiple parent reports and observing physical indication of illnesses from children, parents were notified via the “Bright Wheel” computer app which is used to communicate direct messaging regarding children illnessess on 9/30/19. Records reviewed confirmed this information. ** Continued on page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Sherene HawkinsTELEPHONE: (949) 466-1624
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)
Page: 1 of 6
Control Number 06-CC-20191001163142
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: SALVATION ARMY, TUSTIN RANCH-CREATOR'S CORNER, THE
FACILITY NUMBER: 304270866
VISIT DATE: 01/08/2020
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
continued page 2
It was also reported that all classrooms, toys, and furniture were disinfected to minimize the spreading of germs. Teachers reported that they can communicate to parents in the class about outbreaks or diseases that are confirmed that may be contagious. It was reported that parents had concerns about the contagious disease present at the school several days prior to it being reporting to them. It was also reported that staff believe parents were not informed in a timely manner. Records reviewed show that an unusual incident report regarding the epidemic was not reported to the Licensing Department in a timely manner.

Based on conflicting statements received during the investigation and interviews from adults, the allegation of staff not reporting child illnesses to the authorized representatives is determined to be unsubstantiated. While the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

However according to records reviewed, and interview conducted, the facility failed to report an epidemic outbreak at the child care center to the Department by telephone or fax within the Department's next working day and during its normal business hours which is required. This poses a potential health and safety risk to the children in care. Based on LPAs records reviewed, the following violation was observed and is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 101212(d)(1)(E), is being cited on the attached LIC 9099D.

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. 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. All appeals must be in writing and received by the licensing office within 15 business days. The first level appeal is to regional manager.

SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Sherene HawkinsTELEPHONE: (949) 466-1624
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)
Page: 2 of 6
Control Number 06-CC-20191001163142
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: SALVATION ARMY, TUSTIN RANCH-CREATOR'S CORNER, THE
FACILITY NUMBER: 304270866
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/31/2020
Section Cited
CCR
101212(d)(1)(E)
1
2
3
4
5
6
7
101212(d)(1)(E) Reporting Requirments Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours of such events:
1
2
3
4
5
6
7
Director stated that she will review reporting requirements regulations and submit a plan to the Department via fax/email to ensure incidents are reported in a timely manner.
8
9
10
11
12
13
14
Epidemic outbreaks...This requirement was not met as evidenced by: facility failed to report an epidemic outbreak at the child care center to the Department by telephone or fax within the Department's next working day.This posses an immediate health and safety risk to 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: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Sherene HawkinsTELEPHONE: (949) 466-1624
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)
Page: 3 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
10/01/2019 and conducted by Evaluator Sherene Hawkins
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20191001163142

FACILITY NAME:SALVATION ARMY, TUSTIN RANCH-CREATOR'S CORNER, THEFACILITY NUMBER:
304270866
ADMINISTRATOR:MITCHELL, CHRISTINEFACILITY TYPE:
850
ADDRESS:10200 PIONEER ROADTELEPHONE:
(714) 210-6040
CITY:TUSTINSTATE: CAZIP CODE:
92782
CAPACITY:112CENSUS: 89DATE:
01/08/2020
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Christine MitchellTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Sick children are not separated from those who are not sick.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) S. Hawkins conducted a follow up investigation regarding a complaint of facility not following the plan of operation allegation which was initiated on 10/4/19. During today’s visit LPA provided the complaint findings to the Director Christine Mitchell. LPA toured the center including all activity/classroom areas, and outdoor play areas. Upon arrival current census observed was 89 preschool children with 13 staff. A review of staff records on this date indicates 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 alleging that sick children are not separated from those who are not sick. During the investigation, LPA interviewed five staff, two parents, and reviewed facility records regarding the above allegation. It was reported that sick children are placed in the director's office to isolate them from other children and prevent spreading of germs until parents arrive. Parents are contacted and children are sent home.

** Continued on page 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Sherene HawkinsTELEPHONE: (949) 466-1624
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)
Page: 4 of 6
Control Number 06-CC-20191001163142
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: SALVATION ARMY, TUSTIN RANCH-CREATOR'S CORNER, THE
FACILITY NUMBER: 304270866
VISIT DATE: 01/08/2020
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
continued page 2

Other staff reported that sometimes children with fevers are laid on cots separate from the other children, but is present in the classroom. Staff also reported that they try to keep sick children separated in the quiet area of the class away form the other children, but more than often children are not separated. Staff reported that children must be fever free for 24 hours before returning to the center. According to facility's plan, the isolation for sick children was to be in the office area with access to staff bathroom.

Based on interviews conducted, the facility staff failed to operate in accordance with the terms specified in the plan of operation by not separating all sick children in the isolation area. This poses a potential health risk to the children in care. Therefore, the preponderance of evidence standard has been met, therefore the above allegation of the facility staff not separating sick children from other children are not sick is found to be substantiated. California Code of Regulations, Title 22, Division 12 Section 101173(d) is being cited on the attached LIC 9099D.


Exit interview was conducted. 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. All appeals must be in writing and received by the licensing office within 15 business days. The first level appeal is to regional manager.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Sherene HawkinsTELEPHONE: (949) 466-1624
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)
Page: 5 of 6
Control Number 06-CC-20191001163142
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: SALVATION ARMY, TUSTIN RANCH-CREATOR'S CORNER, THE
FACILITY NUMBER: 304270866
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/31/2020
Section Cited
CCR
101173(d)
1
2
3
4
5
6
7
101173(d) Plan of Operation:The child care center shall operate in accordance with the terms specified in the plan of operation.This requirement was not met as evidenced by: the facility staff allowing sick children to stay in the classroom with other children and not sending children to the identified isolation area approved by the Licensing Department.
1
2
3
4
5
6
7
Director stated she will submit a written plan on how to ensure staff are following the plan of operation. Plan will be submitted to Licensing via mail or email.
8
9
10
11
12
13
14
This posses a potential health risk to 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: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Sherene HawkinsTELEPHONE: (949) 466-1624
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)
Page: 6 of 6