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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334813497
Report Date: 08/27/2021
Date Signed: 08/27/2021 02:19:35 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/04/2021 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210804120541
FACILITY NAME:CORNERSTONE CHRISTIAN PRESCHOOLFACILITY NUMBER:
334813497
ADMINISTRATOR:MARIE MARKHAMFACILITY TYPE:
850
ADDRESS:40333 ACACIA AVENUETELEPHONE:
(951) 929-5007
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:108CENSUS: 54DATE:
08/27/2021
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Marie MarkhamTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Unqualified staff is providing care and supervision to day-care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced complaint visit. LPA met with Director Marie Markham, to deliver findings on the above stated allegation.

Investigation consisted of interviews with Director and a witness. LPA reviewed other relevant paperwork.

Investigation revealed the following: During the initial visit on 08/11/21, LPA reviewed the personnel records for five Teacher Assistants (TA). During the review of records, LPA observed none of the 5 Teacher Assistants (Staff #1-#5) had transcripts or proof of completion of Early Childhood Education or Child Development units. Director confirmed that four of the Teacher Assistants have not completed the course work, because she was unaware it was a requirement for TAs. One of the TAs is an intern, who the Director advised does meet the minimum requirements, but there were no transcripts or proof on file. See Confidential Names list, LIC 811, for staff names.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021
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 3
Control Number 10-CC-20210804120541
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: CORNERSTONE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 334813497
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/27/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/27/2021
Section Cited
CCR
101216.2(d)(1-3)
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Teacher Aide Qualifications and Duties (d) An aide assisting a fully qualified teacher... shall meet the following requirements: (1) Completion of 6 post secondary semester or equivalent quarter units in Early Childhood Education or CD, or (2) Completion of at least 2 post secondary semester units or equivalent quarter units in ECE or CD...
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Director advised that Staff #3's is no longer here and their last day was 08/20/21, Staff #2's last day is today, but Staff #1, #4 and #5 have been enrolled in local Junior Colleges and will complete required core Child Development class. Proof of enrollment were provided to LPA during today's visit. Once completed, Director will submit completion
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The requirement is not met as evidenced by:

Upon review of five Teacher Assistant (Staff #1-#5) personnel records, LPA observed that all five TAs did not have transcripts or proof of completion of required courses on file, which poses a potential health and safety risk.
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record to LPA.
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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: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20210804120541
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CORNERSTONE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 334813497
VISIT DATE: 08/27/2021
NARRATIVE
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Based on LPAs observations, interviews which were conducted, and record review(s), the preponderance of evidence standard has been met, therefore the allegation that unqualified staff are providing care and supervision to day-care children is found to be SUBSTANTIATED.

The facility is being cited in accordance with Title 22, Division 12, Chapter 1, Section 101216.2(d)(1-3): Teacher Aide Qualifications and Duties. See page 2 for deficiencies.

A copy of this report, LIC 811 and appeal rights were provided to Director Marie Markham 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: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3