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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370817
Report Date: 09/01/2021
Date Signed: 09/01/2021 02:41:04 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
06/25/2021 and conducted by Evaluator Cindy Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210625130141
FACILITY NAME:RED APPLE PRESCHOOL, THEFACILITY NUMBER:
304370817
ADMINISTRATOR:FOSTER, MARYAMFACILITY TYPE:
850
ADDRESS:23532 EL TORO RD. SUITE #1TELEPHONE:
(949) 460-9221
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY:30CENSUS: 11DATE:
09/01/2021
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Director, Maryam FosterTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nguyen conducted an unannounced investigate the above allegation. This is a continuation of the investigation initiated on 7/01/2021 and 8/10/2021. LPA talked with Director, Maryam Foster and Assistant Director, Amir Mansouri, and discussed the purpose of the investigation inspection. At 1:55 pm, LPA toured the facility inside and outside. Census was taken. 11 preschool age children with 3 staff members were observed. During today's inspection staffing ratios were met and the facility was operating within its licensed capacity. A review of staff criminal records clearances indicated all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.

On 6/25/2021 a complaint was filed with the Licensing Office. Complainant alleged that Child #9 (C9) behavior has changed since C9 began attending school. After C9 arrived home from school, within the first hour of being home C9 would cry and hide under child bed. C9 was terrified.

Continued on Page LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
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-20210625130141
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: RED APPLE PRESCHOOL, THE
FACILITY NUMBER: 304370817
VISIT DATE: 09/01/2021
NARRATIVE
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Page LIC 9099C

On the first day being at preschool, C9 attempted to hit others and threw toys. Complainant alleged C9 began waking up with nightmares since beginning school. Complainant expressed concerned of whether C9 was fed. At the time of pick-up, C9 asked for water and food, and lunch bag was almost full. On 5/14/2021 unexplained marks on upper outer thigh had a circle of a dozen little dot marks. This did not a appear to be a rash. Complainant is unsure if it happened during care.

During the investigation LPAs conducted 3 physical plant inspections, interviewed 6 staff members, 9 parents, 4 children and obtained facility children’s roster. Staff interviewed stated that the facility is always within compliance of children's personal rights, and that all staff are aware of personal rights regulation. Staff #1 (S1) stated that bruises were never observed on C9 while at school. Staff #4 (S4) stated we would never withhold food from the children. S4 stated C9 would throw food on the floor and try to grab food and put the whole hand in her month during mealtimes. All parents interviewed did not express any concerns with the care given to the children, or any issue with any staff at the facility. Parents stated they are happy with the facility and would recommend facility to others. In the interviews conducted with the children, the children stated they like their school and the teachers. Children also stated when children don’t listen, they sit down to think about it and the teachers will talk to them.

Based on LPA observations, document reviews and interviews which were conducted, the preponderance of evidence was not met, therefore the above allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Director, Maryam Foster & Assistant Director, Amir Mansouri. 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.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC9099 (FAS) - (06/04)
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