304371197-9-21-2022-06-CC-RLOZ-CKZQSB-20221109112512

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371197
Report Date: 09/21/2022
Date Signed: 09/21/2022 05:35:52 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
09/12/2022 and conducted by Evaluator Romelia M Castanon

COMPLAINT CONTROL NUMBER: 06-CC-20220912155217

FACILITY NAME:	KING OF GLORY LUTHERAN CHURCH & PRESCHOOL		FACILITY NUMBER:	304371197
ADMINISTRATOR:	KELLY RAMIREZ		FACILITY TYPE:	830
ADDRESS:	10280 SLATER AVENUE		TELEPHONE:	(714) 968-5865
CITY:	FOUNTAIN VALLEY	STATE: CA	ZIP CODE:	92708
CAPACITY:	12	CENSUS: 9	DATE:	09/21/2022
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Stephanie Daniels, Director		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not feeding day care children while in care
Staff are not providing liquids to children while in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 09/21/2022, Licensing Program Analyst (LPA) Romy Castanon and Licensing Program Manager (LPM) Rina Lopez conducted an in-person inspection regarding the above complaint allegations. LPA Castanon and LPM Lopez met with Director Stephanie Daniels. A tour of the infant classroom was conducted, and a census was taken. Observed at the time of the visit was a total of 9 infants and 4 staff.

A review of the Facility Personnel Report Summary on 09/21/2022 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions, apart from Theresa Davis, Sarah Landgren, Avery Eley and Stephanie Daniels. Facility will be cited on a case management report for 4 staff not being associated to facility.

On 09/12/2022, the Regional Office received a complaint report alleging staff are not feeding or providing liquids to children while in care. Reporting Party (RP) stated complaint was written regarding child neglect. Page 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Romelia M Castanon	TELEPHONE: (714) 746-8565
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022

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-20220912155217

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: KING OF GLORY LUTHERAN CHURCH & PRESCHOOL	FACILITY NUMBER: 304371197
	VISIT DATE: 09/21/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 2

RP stated that infants were not being fed all food and milk bottles packed by parents. RP stated that full bottles were either dumped out or sent back home, as well, as pouches of food. RP stated that staff are not offering bottles as needed and are not assisting the infants that need to have their bottles held for them. LPA Castanon attempted to contact RP on two occasions and did not receive a response.

During today’s investigation, LPA Castanon and Lopez interviewed 5 staff, including Director.

During staff interviews, 5 out of 5 staff denied having witnessed any staff at the facility refuse to feed infants or throw away infants’ food or milk bottles to the children in care. All staff stated they either hold the infants while feeding them or assist the infants with their bottles while infant is on the feeding pillow. All 5 staff were able to name a former child who was enrolled in the infant room that would not eat of the food provided by the parent. All 5 staff stated the parent was upset staff were not feeding infant all bottles that were sent. Each staff agreed that they would never force feed a child at the parent’s request. Child is no longer attending the facility.

Based on the interviews conducted with 5 staff there was insufficient evidence to corroborate the allegations of staff are not feeding day care children while in care and staff are not providing liquids to children while in care.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that facility withheld food or liquids to infants in care , therefore the allegations are UNSUBSTANTIATED.

Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Stephanie Daniels.

End of Report

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Romelia M Castanon	TELEPHONE: (714) 746-8565
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2