304370178-10-5-2019-06-CC-PMAA-BJGNWG-20191202094930

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370178
Report Date: 10/04/2019
Date Signed: 10/05/2019 04:08:02 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
09/03/2019 and conducted by Evaluator Jung Mi Han

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20190903163104

FACILITY NAME:	COVENANT CHRISTIAN PRESCHOOL		FACILITY NUMBER:	304370178
ADMINISTRATOR:	REIS, MAUREEN		FACILITY TYPE:	850
ADDRESS:	1855 ORANGE-OLIVE ROAD		TELEPHONE:	(714) 998-4852
CITY:	ORANGE	STATE: CA	ZIP CODE:	92865
CAPACITY:	60	CENSUS: 23	DATE:	10/04/2019
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Tracey Arsenault - Director		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Child intimidated by a staff

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jungmi Han conducted an unannounced complaint visit to deliver the complaint results. On 9/3/19 a complaint was filed with the Licensing office. LPA met with Director Tracey Arsenault. Census was taken in individual classrooms. The overall census observed was 4 preschool staff and 23 preschool children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 9/6/2019, LPA Han interviewed four staff including interim director, reviewed children’s file, staff files, children’s roster, daily schedule, and parent notice letter of immunizations needed. LPA Han interviewed child#1’s parent on 9/9/2019 by phone.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi Han	TELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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-20190903163104

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: COVENANT CHRISTIAN PRESCHOOL	FACILITY NUMBER: 304370178
	VISIT DATE: 10/04/2019

NARRATIVE

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During investigation of the allegation of child intimidated by a staff, all four staff interviewed stated child#1 enrolled in early July 2019 and had three biting incidents in July 2019. On 8/14/2019, the facility staff invited child#1’s parents for the Individual Education Program (IEP) meeting to discuss child’s biting behavior. Staff#2 stated both parents came to the meeting. Staff#2 stated I only said no biting comment that maybe intimate statement to child#1. Child#1’s parent stated during the meeting all staff acted appropriately when speaking to child#1. All staff interviewed stated they did not feel staff intimidated children at any time. Child#1 was not qualified to interview based on LPA attempted interview on 9/6/2019.

Based on the information gathered from the interviews, staff did not intimidate a child during the IEP meeting. LPA determine facility compliance with personal rights. LPA interviewed four staff and child#1’s mother and all did not make any disclosures.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged Personal Rights: staff intimidated a child, therefore the allegations are unsubstantiated.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their 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 Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be immediately reported to the Department.
The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi Han	TELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

LIC9099 (FAS) - (06/04)

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