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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330907476
Report Date: 05/12/2023
Date Signed: 05/12/2023 12:22:17 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/08/2023 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230508135347
FACILITY NAME:OCS ST. HYACINTH ACADEMY PRESCHOOLFACILITY NUMBER:
330907476
ADMINISTRATOR:KARLA CORTEZFACILITY TYPE:
850
ADDRESS:600 S. SANTA FE AVENUETELEPHONE:
(951) 654-2013
CITY:SAN JACINTOSTATE: CAZIP CODE:
92583
CAPACITY:35CENSUS: 18DATE:
05/12/2023
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Karla CortezTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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Facility is unsanitary

Licensee is allowing smoking on grounds
INVESTIGATION FINDINGS:
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At 10:15AM on May 12, 2023, Licensing Program Manager (LPM) Deborah Mullen and Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced 10 day visit. LPM and LPA met with Director Karla Cortez, to discuss the above stated allegations.

Investigation consisted of: interview with Director, review of pictures and observation of the playground area.

Investigation revealed the following; On 05/08/2023, complaint allegations were received by the Community Care Licensing (CCL) office that Facility is unsanitary, and the Licensee is allowing smoking on the grounds. There are two dogs who live on the premises, and dog feces has been observed on the preschool playground. Director admitted to her and the other Teacher having to dispose of feces before children arrive to school, but sometimes they are unable to catch it all. During today's visit, LPM Mullen observed dog feces on the grass. Director advised that she and the Teacher do not smoke. She denies ever seeing anyone smoke cigarettes on the facility grounds, but does acknowledge that she has observed cigarette butt
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/08/2023 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230508135347

FACILITY NAME:OCS ST. HYACINTH ACADEMY PRESCHOOLFACILITY NUMBER:
330907476
ADMINISTRATOR:KARLA CORTEZFACILITY TYPE:
850
ADDRESS:600 S. SANTA FE AVENUETELEPHONE:
(951) 654-2013
CITY:SAN JACINTOSTATE: CAZIP CODE:
92583
CAPACITY:35CENSUS: 18DATE:
05/12/2023
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Karla CortezTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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7
8
9
Child sustained dog bite at the facility.
INVESTIGATION FINDINGS:
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At 10:15AM on May 12, 2023, Licensing Program Manager (LPM) Deborah Mullen and Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced 10 day visit. LPM and LPA met with Director Karla Cortez, to discuss the above stated allegation.

Investigation consisted of: interview with Director and other pertinent parties.

Investigation revealed the following; On 05/08/2023, a complaint allegation was received by the Community Care Licensing (CCL) office that Child sustained dog bite at the facility. Director stated she was informed by a parent that their child was scratched and nibbled by the puppies during pick up. Director confirmed the two puppies, who are approximately 8 months old, live on the premises. Also, the Director advised there was no broken skin or bleeding, and the "bites" were more of a nibble.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20230508135347
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: OCS ST. HYACINTH ACADEMY PRESCHOOL
FACILITY NUMBER: 330907476
VISIT DATE: 05/12/2023
NARRATIVE
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Based on interviews conducted, the allegation that Child sustained dog bite at the facility, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegations are UNSUBSTANTIATED at this time.

Exit interview conducted. A copy of this report and appeal rights were discussed and provided to the Director Karla Cortez on this date.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.
SUPERVISOR'S NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 10-CC-20230508135347
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: OCS ST. HYACINTH ACADEMY PRESCHOOL
FACILITY NUMBER: 330907476
VISIT DATE: 05/12/2023
NARRATIVE
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on the premises. While cleaning up the feces, she and the other Teacher have disposed of the cigarette butts as well.

Based on LPM and LPA's records review, observation and interviews, the preponderance of evidence standard has been met and the allegations that Facility is unsanitary, and Licensee is allowing smoking on grounds are found to be SUBSTANTIATED. The facility is being cited in accordance with Title 22 Child Care Center Regulations, Division 12, Chapter 1, Section 101238(a): Buildings and Grounds and 101231(a): Smoking Prohibition. This poses a potential risk to the health, safety, or personal rights to the children in care. See LIC9099D for cited deficiencies.

Exit interview conducted. A copy of this report and appeal rights were discussed and provided to the Education Coordinator Karla Cortez on this date.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.
SUPERVISOR'S NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20230508135347
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: OCS ST. HYACINTH ACADEMY PRESCHOOL
FACILITY NUMBER: 330907476
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/19/2023
Section Cited
CCR
101238(a)
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Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
The requirement is not met as evidenced by:
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Director advised she and Principal would speak with the Father, who lives on the grounds. A temporary gate is currently being installed, and we will collaborate to build a permanent gate, once there is something Director could agree to as well. Once this is established, there will be no need for dogs
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There are 2 dogs who live on the premises, and feces has been observed on the preschool playground. Director admitted to having to dispose of feces, but they're unable to catch it all, which is a potential health, safety or personal rights risk to children in care.
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or Father to come onto the preschool side.
Type B
05/19/2023
Section Cited
CCR
101231(a)
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Smoking Prohibition (a) Smoking is prohibited on the premises of a child care center as specified in Health and Safety Code Section 1596.795(b)

The requirement is not met as evidenced by:
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Director advised that the smoking will be addressed in the meeting with the Father, to confirm if it is any of his staff that are smoking. We will keep it fenced off with the gate, so there is no need for anyone from his side to be on the preschool side.
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Director denies ever seeing anyone smoke cigarettes on the facility grounds, but does acknowledge that she has observed cigarette butts on the premises and has to dispose of them, which is a potential health, safety or personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5