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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334841046
Report Date: 08/12/2021
Date Signed: 08/12/2021 02:32:00 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
08/05/2021 and conducted by Evaluator Lakesha Edwards
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210805162058
FACILITY NAME:PROMISE CHRISTIAN PRESCHOOLFACILITY NUMBER:
334841046
ADMINISTRATOR:PATRICIA GREENFACILITY TYPE:
830
ADDRESS:25664 MADISON AVENUETELEPHONE:
(951) 600-8201
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:24CENSUS: 9DATE:
08/12/2021
UNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Patricia Green-DirectorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff do not wear face coverings while children are in care

INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA's) LaKesha Edwards and Nasha King arrived at the facility to conduct an unannounced complaint investigation into the above allegations. LPA Edwards conducted COVID-19 screening questions before entering the facility.

LPA’s were granted entry, toured the facility, took census and conducted interviews and met with the Director, Patricia Green.

It was alleged that staff do not wear face coverings while children are in care and staff are not following proper COVID-19 cleaning and disinfection guidance.

Upon arrival, LPA’s observed from the parking lot of the facility at 9:38 AM, parents entering the facility without wearing any face coverings. (Continued on 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Lakesha EdwardsTELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
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 5
Control Number 10-CC-20210805162058
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: PROMISE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 334841046
VISIT DATE: 08/12/2021
NARRATIVE
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(Continued from 9099)

LPA's entered the facility behind one of the parents and observed the parent login to the sign-in system without using any hand sanitizer or wipe the touch screen prior to use. There was no staff there to monitor the parent logging in to clean their hands prior to touching the screen. The front desk was vacant. Director, Patricia Green was in her office and came out and met with the LPA's at this point.

LPA Edwards went to inspect infant rooms 1 and 2 and one of the staff member in room 1 did not have her face covering on, she was in the process of grabbing a face cover and placed it on after the LPA had entered the room. LPA Edwards reminded each staff member in both classrooms, that they are required to wear the face covering while inside of the facility despite vaccination status.

During interviews of pertinent parties, LPA’s verified from interviews, that no staff in each class were told it was a requirement to wearing facial coverings while inside the facility or that any of the parents when bringing their kids directly to the classroom had to wear them.

LPA Edwards spoke with the Director Ms. Green and the staff and stated when in the facility as required by the California Department of Public Health guidance and the Division of Occupational Safety and Health (CAL/OSHA) in childcare indoor settings regardless of vaccination status. This was updated on 6/29/2021. LPA Edwards verbally discussed this concern with acting Director Judith Heffernan on 8/2/2021 while at the facility for another purpose. A copy of this updated guidance and a technical advisory was provided to the Director Patricia Green via email on 8/9/2021.

Based upon LPAs observations and interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegations is found to be SUBSTANTIATED. The facility is being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1, Section 101223(a)(2): Personal Rights are being cited on the attached LIC 9099D.

An exit interview was conducted, appeal rights, and a copy of this report were provided to Patricia Green, Director.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Lakesha EdwardsTELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20210805162058
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: PROMISE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 334841046
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/12/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/13/2021
Section Cited
CCR
101223(a)(2)
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101223(a)(2) Personal Rights
a) The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful and comfortable accommodations.

This requirement was not met as evidenced by:
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Director has agreed to have a training with staff on CDPH Guidance for the use of Face Coverings dated 6/29/2021 and provide a copy of the staff that attended the training. Director providing an email to parents requiring mask to enter the facility. Director will provide this to CCLD by the POC due date.
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Based on LPA's observations and interviews conducted, the facility has not been following CDPH Guidance for the use of Face Coverings. LPA's observed parents and staff entering the facility with no facial coverings on.

This poses an immediate risk to the Health and Safety of chidren 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: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Lakesha EdwardsTELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5