334819449-8-27-2021-09-CC-KWIS-C72Q8T-20210920115716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334819449
Report Date: 08/26/2021
Date Signed: 08/27/2021 02:32:54 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 ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/18/2021 and conducted by Evaluator Laura Mejorado

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20210818084300

FACILITY NAME:	GROVE COMMUNITY CHURCH PRESCHOOL		FACILITY NUMBER:	334819449
ADMINISTRATOR:	CATHY HARMON		FACILITY TYPE:	850
ADDRESS:	19900 GROVE COMMUNITY DRIVE		TELEPHONE:	(951) 571-9080
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92508
CAPACITY:	210	CENSUS: 23	DATE:	08/26/2021
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Cathy Harmon		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Personal Rights - Staff are not following COVID-19 mask guidance

INVESTIGATION FINDINGS:

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This is an amended report from the complaint investigation conducted on 8/26/2021. Additional information is being added to the LIC9099 and LIC9099C, however there are no changes to the unsubstantiated findings. On 8/26/21 at 3:00 pm Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to initiate a complaint investigation. LPA met with Director, Cathy Harmon, toured the facility, took census, and discussed the following:

During the investigation, LPA made observations, reviewed pertinent documentation, and conducted interviews with pertinent parties. It was alleged that staff are not following COVID-19 mask guidance.

Regarding the above allegation, during the inspection it was observed that staff was wearing masks but children were not wearing masks. LPA interviewed pertinent parties and it was disclosed that staff are required to wear masks but children are not. No postings regarding mask wearing were seen during the inspection but Director will provide newsletter sent to parents recommending mask wearing to LPA.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Mejorado	TELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021

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 09-CC-20210818084300

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GROVE COMMUNITY CHURCH PRESCHOOL	FACILITY NUMBER: 334819449
	VISIT DATE: 08/26/2021

NARRATIVE

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Director did not ensure the personal rights of persons in care to safe and healthful accommodations, in that children did not consistently wear face coverings while in the facility, as required by the CA Department of Public Health Guidance on face coverings. Director disclosed that there was some confusion as to what guidance was referred to, as far as children wearing masks. The Director was receiving mixed reactions from parents, in regards to themselves and their children being required to wear masks. Therefore, at this time, there is not a preponderance of evidence to prove there is consistent mask wearing in the facility.

Based on observation, interviews conducted and conflicting information, the allegation is UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred.

An exit interview was conducted with Director, Appeal Rights were discussed and issued, a copy of this report was provided, and a Notice of Site visit was issued.

The Notice of Site Visit (LIC 9213) shall be posted where the parent/guardian of children enter and exit the facility. The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of this report must be made available for the next three years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Mejorado	TELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021

LIC9099 (FAS) - (06/04)

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