334841046-4-11-2023-10-CC-CMAZ-CQYW2B-20230417165405

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334841046
Report Date: 04/11/2023
Date Signed: 04/11/2023 01:11:01 PM

Substantiated

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
04/04/2023 and conducted by Evaluator James Wilkerson

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20230404084931

FACILITY NAME:	PROMISE CHRISTIAN PRESCHOOL		FACILITY NUMBER:	334841046
ADMINISTRATOR:	PATRICIA GREEN		FACILITY TYPE:	830
ADDRESS:	25664 MADISON AVENUE		TELEPHONE:	(951) 600-8201
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92562
CAPACITY:	24	CENSUS: 15	DATE:	04/11/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Patricia Green		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Staff do not provide adequate supervision to the daycare children

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) James Wilkerson and Keely Messerschimdt arrived at this facility to conduct an investigation into the above allegation. LPAs toured the facility and conducted census, obtained facility documents and conducted staff interviews. It was alleged that C1 had bitten other children on multiple occasions and scratched child(ren). LPAs received Incident/injury reports where it was documented that C1 had bitten and scratched other children five times from 03/20/23 to 04/10/23. Interviews with staff disclosed that C1 has a history of biting and can be aggressive. C1 has been stopped by staff while in trying to bite other children on numerous occasions. Interviews with staff disclosed that they try to keep an eye on C1 for these reasons. Staff does keep within ratio. From the information received from staff interviews and the faciltiy Incident/Injury report(s) there is a supervision issue. The above allegation is substantiated.
Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months. SEE LIC 9099C - NEXT PAGE.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

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-20230404084931

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: 04/11/2023

NARRATIVE

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The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.

SEE LIC 9099D for deficiency cited.

An exit interview was conducted, Appeal Rights discussed and provided along with a Notice of Site Visit, form LIC 9224 (AB 633) and a copy of this report to the facility on this date.

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20230404084931

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: 04/11/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/12/2023 Section Cited CCR 101229(a)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision - (a) The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement was not met as evidenced by C1 biting and scratching five children from 03/20/23 to 04/10/23.and has been caught trying to bite other children on numerous occasions. Per	1 2 3 4 5 6 7	Director, Patricia Green agrees to conduct a staff meeting on providing care and supervision and submit a copy of the intinerary of the supervision training with signatures to Community Care Licensing by 04/12/23.
	8 9 10 11 12 13 14	staff C1 has a history of biting and is agressive. This poses an immediate risk to the health and safety of the children.	8 9 10 11 12 13 14
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	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

LIC9099 (FAS) - (06/04)

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