304370298-4-26-2022-06-CC-JHAN-CDXSDN-20220429134722

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370298
Report Date: 04/26/2022
Date Signed: 04/26/2022 02:25:54 PM

Unsubstantiated

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
03/01/2022 and conducted by Evaluator Dean Valencia

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20220301162312

FACILITY NAME:	WALDORF SCHOOL OF ORANGE COUNTY		FACILITY NUMBER:	304370298
ADMINISTRATOR:	HOLLY RICHARDS		FACILITY TYPE:	850
ADDRESS:	2350 CANYON DRIVE		TELEPHONE:	(949) 574-7775
CITY:	COSTA MESA	STATE: CA	ZIP CODE:	92627
CAPACITY:	85	CENSUS: 14	DATE:	04/26/2022
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Holly Richards		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff sexually assualted minor while in care.

INVESTIGATION FINDINGS:

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A complaint inspection was conducted on this date 4/26/22 by Licensing Program Analyst (LPA) Dean Valencia. LPA met with Holly Richards to discuss the above allegation. During the inspection a physical plant inspection/walk-through was conducted, census was taken, and 3 staff were interviewed. At the time of the physical plant inspection/walk-through, at approximately 1:30pm, 14 children were in care being supervised by 4 staff. This is a continuation inspection initiated on 3/2/22. During the course of the investigation, LPA conducted 2 seperate physical plant inspections, and interviewed 3 staff; and Investigator Vo conducted interviews and review of Police Report documentation related to the allegation. Based on all this information LPA gathered, the preponderance of evidence standard for the allegation was not met, therefore the above allegation is found to be unsubstantiated. From all of the available information obtained by LPA and Investigator Vo during the course of the investigation, that there is insufficient evidence indicating that any child's personal rights were violated. Based on all of the information gathered, Licensing was not able to determine that this allegation was false or untrue. Therefore LPA cannot make the determination that this allegation is unfounded; and the most accurate findings would remain at unsubstantiated. (cont. on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022

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-20220301162312

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: WALDORF SCHOOL OF ORANGE COUNTY	FACILITY NUMBER: 304370298
	VISIT DATE: 04/26/2022

NARRATIVE

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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. Exit interview was conducted, and report was reviewed and discussed. Notice of Site Visit was posted during the visit. 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 per day. The facility was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022

LIC9099 (FAS) - (06/04)

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