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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370218
Report Date: 02/11/2020
Date Signed: 02/11/2020 02:59:53 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
01/29/2020 and conducted by Evaluator Ketki Desai
COMPLAINT CONTROL NUMBER: 06-CC-20200129163831
FACILITY NAME:SURF CITY CHRISTIAN CHILD DEVELOPMENT PRESCHOOLFACILITY NUMBER:
304370218
ADMINISTRATOR:HOPKINS, TAMARA ANNFACILITY TYPE:
850
ADDRESS:5432 & 5452 HEIL AVENUETELEPHONE:
(714) 812-6407
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92649
CAPACITY:140CENSUS: 84DATE:
02/11/2020
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Director Hopkins Tamara Ann TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility operates out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ketki Desai conducted an unannounced visit to investigate the above allegation. This is a continuation on the investigation initiated on 1/31/2020. LPA met with Director on site Ms. Hopkins, Tamara Ann who guided LPA on tour of the facility. There were 84 Preschool children present upon arrival with 10 staff members along with two administrative staff. During today’s inspection the facility was operating within its licensed capacity.

A review of adult 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.

Allegation: Facility operates out of ratio. Reporting party reported that it has been observed the teachers being out of ratio for few minutes and has observed teacher supervising fourteen children while other teacher was taking children to the bathroom.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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 2
Control Number 06-CC-20200129163831
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: SURF CITY CHRISTIAN CHILD DEVELOPMENT PRESCHOOL
FACILITY NUMBER: 304370218
VISIT DATE: 02/11/2020
NARRATIVE
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During the investigation LPA made several attempts to contact the Reporting party, but the information furbished remains invalid. LPA interviewed the Director, Assistant Director and five staff members on site on 01-31-20 and obtained additional supporting documents. LPA obtained AM/PM breaker schedule/ Employee training manual/ Facility roster/ Staff sign in sheets and children assignment sheet in each classroom.

During interviews conducted it was disclosed by all the five staff members that the facility has a designated staff person for both AM/PM shifts to covers the ten minute break in each of the eight classrooms, while lunch breaks are covered by co-teachers within the classrooms during nap time. LPA also received consistent statement from all the staff interviewed including the Administrative staff who stated, “At any given time the teacher has twelve or less in classroom in care while the other teacher shall assist the remaining children to use the restroom.” One staff also stated that Administrative staff is also available to provide additional support in the classroom when needed. Facility Director denied the allegation and indicated having sufficient staff in the facility and ratios are maintained in each classroom through the day, most of the classroom have less than ten children enrolled in the classroom.

On reviewing the classroom configuration, LPA noted Teacher– Child ratio is being maintained by the facility.

Based on the information gathered from LPA's observations, and the interviews conducted there is insufficient evidence to corroborate the allegation. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation for Facility operating out of ratio is being unsubstantiated.

Exit interview was conducted and Director was provided with a copy of their Appeal rights (LIC 9058 01/16). Notice of Site Visit was posted during the visit. 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.

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2