304370847-9-27-2021-06-CC-PMAA-C8GS2V-20211105133010

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370847
Report Date: 09/27/2021
Date Signed: 09/27/2021 10:48:06 AM

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
08/31/2021 and conducted by Evaluator Eileen Corral

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210831085426

FACILITY NAME:	NOBIS PRESCHOOL		FACILITY NUMBER:	304370847
ADMINISTRATOR:	NEITZKE, ASHLEY		FACILITY TYPE:	830
ADDRESS:	26153 VICTORIA BLVD.		TELEPHONE:	(949) 661-6258
CITY:	CAPISTRANO BEACH	STATE: CA	ZIP CODE:	92624
CAPACITY:	16	CENSUS: 7	DATE:	09/27/2021
		UNANNOUNCED	TIME BEGAN:	10:01 AM
MET WITH:	Director - Ashley Neitzke		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff are comingling day care children

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Corral conducted a Visit with Director Ashley Neitzke to deliver findings for a Complaint received in our Regional office on 08/31/2021. The complaint was regarding an allegation which alleged Staff Commingle Day Care Children. Prior to entering the Facility LPA Corral reviewed the COVID-19 Questionnaire with Director Ashley Neitzke. Upon entry to the facility, there were 7 infants observed in care with 2 staff members providing care and supervision. The 2 teachers were observed playing and interacting with the infants in the play room.

Due to COVID 19 Guidelines, LPA Corral observed staff members wearing face masks, social distancing and following CDC and Dept of Public Health Guidelines. During the inspection it was determined the facility is operating within its licensed capacity and within staffing ratios. A review of the Facility Personnel Report Summary conducted on 09/27/2021 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Continue to Page 2.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

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-20210831085426

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: NOBIS PRESCHOOL	FACILITY NUMBER: 304370847
	VISIT DATE: 09/27/2021

NARRATIVE

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During the course of the investigation, LPA Corral conducted 8 interviews with 7 Staff Members and Director Ashley Neitzke regarding the above allegation. During LPA Corral interviews with the Staff Members, Teachers were asked if children outside of the infant age group were observed to be in the infant classroom, all 7 teachers including the Director stated No. LPA Corral also asked if other children outside of the infant age group interact or play with infants, all Staff Members interviewed stated No. LPA Corral wanted to confirm that the only children allowed in the infant classroom are the infants, both infant teachers stated Yes. One preschool teacher stated she doesn't put her children in the infant room and infant teachers don't put babies in her preschool classroom. Both infant teachers stated the only children allowed in the infant classroom are the infants. During the Investigation, LPA Corral also requested the sign in/sign out sheets for the infant program, and the preschool program. During the Record Review LPA Corral confirmed that the children signed in the infant classroom are in the infant age group. The Children’s Roster was also reviewed, infants Date of Birth were reviewed and verified.

LPA Corral conducted 8 Interviews which included the Facility Director, two Infant Teachers and five Preschool Teachers. Record Review was also completed to investigate the allegation, based on the information obtained there is not enough evidence to substantiate the allegation stating Staff Commingle Day Care Children therefore, the allegation is found to be Unsubstantiated. This agency has investigated the complaint alleging that Staff Commingle Day Care Children, although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

LPA Corral conducted an Exit Interview with Director Ashley Neitzke. The report was read, reviewed and discussed with Director. Appeal Rights were explained, Director was provided a copy of her Appeal Rights and signature on this form acknowledges receipt of these rights. Director was informed all appeals must be in writing and received by the Regional Office within 15 business days. Notice of Site Visit was provided and posted by Director. Director was informed the Notice of Site Visit must be posted for 30 consecutive days and failure to post will result in a Civil Penalty of $100.00.

End of Report.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

LIC9099 (FAS) - (06/04)

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