334830314-2-1-2022-10-CC-SHUK-CBJ2MP-20220210163124

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334830314
Report Date: 02/01/2022
Date Signed: 02/01/2022 05:03:24 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
10/27/2021 and conducted by Evaluator Rachel Zeron

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20211027112206

FACILITY NAME:	PRINCE OF PEACE LUTHERAN PRESCHOOL		FACILITY NUMBER:	334830314
ADMINISTRATOR:	LILAH WHEELER		FACILITY TYPE:	850
ADDRESS:	701 N. SANDERSON AVENUE		TELEPHONE:	(951) 925-9798
CITY:	HEMET	STATE: CA	ZIP CODE:	92545
CAPACITY:	82	CENSUS: 6	DATE:	02/01/2022
		UNANNOUNCED	TIME BEGAN:	04:45 PM
MET WITH:	Ria Kratkiewicz - Afternoon Site Supervisor		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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A staff is aggressive towards daycare child.

Director terminated services due to parent requesting an investigation.

Staff used child's diapers for other children.

INVESTIGATION FINDINGS:

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On 02/01/2022 at 4:45 PM, Licensing Program Analyst (LPA) Rachel Zeron conducted an unannounced inspection at the facility and met with Ria Kratkiewicz for the purpose of delivering findings of this complaint that was initiated on 10/27/2021. During time of inspection, LPA toured the facility and took census.
During the investigation, LPA Zeron reviewed facility documentation and conducted interviews with relevant individuals pertinent to this investigation. It is alleged that a staff was aggressive towards daycare child. During the month of October, a child was given a cloth mask by Staff due to the child needing a clean mask. The next morning, child was dropped off at the facility by the child’s representative. When arriving to the classroom, the child's representative witnessed staff removing the child's mask in a rough manner. Interviews revealed that the child has a history of having a runny nose and due to COVID 19 protocols children are to wear masks at all times while in the classroom. Staff indicated that child’s nose needed to be cleaned often during the day due to the child’s runny nose. Staff denies removing the child’s mask in rough manner. Staff indicated that often when the child arrives to class, the child requires their nose to be cleaned. staff would remove mask and clean the child’s nose on multiple occasions. Staff indicated that there was a lack of care at home with child and child was not always clean when arriving to facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4207
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

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 10-CC-20211027112206

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: PRINCE OF PEACE LUTHERAN PRESCHOOL	FACILITY NUMBER: 334830314
	VISIT DATE: 02/01/2022

NARRATIVE

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Regarding the allegation, Director terminated services due to parent requesting an investigation, interviews and a records review was conducted. According to confidential witnesses , during the month of October 2021, the facility received a letter of termination regarding subsidized services, termination was effective November 1st. The child's representative was given the option to continue services per the letter and additional witnesses, the fees would need to be paid by the child's representative. The child's representative discontinued bringing the child prior to the date of October 31st to the facility. It is unclear, whether the child's representative or the facility terminated services prior to the date of October 31st,

Regarding the allegation, staff used child’s diapers for other children, interviews were conducted with pertinent individuals. According to the complaint, it was alleged that a child’s diapers and/or pull-ups were requested by staff on multiple occasions in case of an accident, when the child is fully potty trained. Pull-ups were given to the facility, they would disappear and assumed staff was using child’s pull-ups on other children. Interviews with confidential witnesses indicated that the child is not fully potty trained, and pull-ups are checked/changed every 2 hours if the children have an accident. Director indicated that a log is kept for the day, this log details the child’s day including diaper changes. This log is given to the child’s representative at the end of each day. LPA Zeron inspected current logs and found that the logs contained a detailed review of the children’s day. LPA also verified that all children had a sufficient number of diapers/pull-ups in their cubbies for the day. A copy of this log was not being kept by the facility.
LPA determined there is conflicting information regarding the allegations, a staff is aggressive towards day-care child, director terminated services due to parent requesting an investigation, and staff used child's diapers for other children. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed UNSUBSTANTIATED at this time.
No deficiencies were cited. An exit interview was conducted, and a copy of this report and a Notice of Site Visit (required to be posted for the next 30 days) was provided to Ria Kratkiewicz on 02/01/2022. LPA verified the Notice of Site Visit was posted in a prominent location before leaving the facility.

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4207
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

LIC9099 (FAS) - (06/04)

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