334843983-8-16-2021-10-CC-SHUK-C6AV6K-20210827160939

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334843983
Report Date: 08/16/2021
Date Signed: 08/16/2021 03:25:56 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
06/10/2021 and conducted by Evaluator Joanne Domingo

COMPLAINT CONTROL NUMBER: 10-CC-20210610103401

FACILITY NAME:	STEPPING STONES PRESCHOOL AND CHILD CARE LLC		FACILITY NUMBER:	334843983
ADMINISTRATOR:	DESI ANDREWS		FACILITY TYPE:	850
ADDRESS:	16527 LAKESHORE DRIVE		TELEPHONE:	(951) 674-5520
CITY:	LAKE ELSINORE	STATE: CA	ZIP CODE:	92530
CAPACITY:	85	CENSUS: 17	DATE:	08/16/2021
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Desi Andrews		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff did not report unusual incident to authorized representative

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joanne Domingo arrived at this facility to conclude the investigation on the above allegation. Previous visits were conducted on 6/15/21 and 7/14/21. LPA met with Director, Desi Andrews, toured the facility and conducted census.

Staff did not report unusual incident to authorized representative - It is alleged that the facility has not been providing parents with their child's "ouch/incident" reports. Children are disclosing to their parents that they got injured injured at school or what happened at school. Facility files were reviewed and each file had several "ouch/incidents" noted for each child. The ouch/incident reports validate that the staff and parents are aware of the injuries/incidents. However, there were at least three files reviewed in which there were no incidents reported for 2021.
CONTINUED ON LIC 9099C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Joanne Domingo	TELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

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

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
06/10/2021 and conducted by Evaluator Joanne Domingo

COMPLAINT CONTROL NUMBER: 10-CC-20210610103401

FACILITY NAME:	STEPPING STONES PRESCHOOL AND CHILD CARE LLC		FACILITY NUMBER:	334843983
ADMINISTRATOR:	DESI ANDREWS		FACILITY TYPE:	850
ADDRESS:	16527 LAKESHORE DRIVE		TELEPHONE:	(951) 674-5520
CITY:	LAKE ELSINORE	STATE: CA	ZIP CODE:	92530
CAPACITY:	85	CENSUS: 17	DATE:	08/16/2021
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Desi Andrews		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Licensee is not providing adequate supervision resulting in altercation between children in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joanne Domingo arrived at this facility to conclude the investigation on the above allegation. Previous visits were conducted on 6/15/21 and 7/14/21. LPA met with Director, Desi Andrews, toured the facility and conducted census.

Licensee is not providing adequate supervision resulting in altercation between children in care - It is alleged that staff are not supervising the children inside and outside the classroom. Children are getting scratched, pinched, bitten by or hurt by their friends. Based on interviews conducted by staff and children, staff do intervene and talk to the children immediately. Staff will have the children apologize to one another if they've hurt or done something wrong to their friends. Each classroom has at least one staff member present with up to 12 children in each class. Depending on the classroom activity staff can not always be in close proximity to all children at once.
CONTINUED ON LIC 9099

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Joanne Domingo	TELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 10-CC-20210610103401

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: STEPPING STONES PRESCHOOL AND CHILD CARE LLC	FACILITY NUMBER: 334843983
	VISIT DATE: 08/16/2021

NARRATIVE

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CONTINUED FROM LIC 9099:

Based on interviews and record review, the allegations that licensee is not providing adequate supervision resulting in altercation between children in care may have occurred, however, there is not a preponderance of evidence to support or dismiss the allegations. Therefore, the allegations are unsubstantiated at this time.

A copy of this report as well as a copy of the Appeal Rights were provided to Director, Desi Andrews on this date and time.

A Notice of Site Visit was posted and must remain posted for 30 days for public review.

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Joanne Domingo	TELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 10-CC-20210610103401

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: STEPPING STONES PRESCHOOL AND CHILD CARE LLC	FACILITY NUMBER: 334843983
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/16/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/16/2021 Section Cited CCR 101218.1(a2B)	1 2 3 4 5 6 7	Admission Procedures and Parental and Authorized Representative's Rights. The licensee shall develop, implement and maintain procedures to be followed should the child become ill or injured while at the child care center	1 2 3 4 5 6 7	Director to conduct an All-Staff meeting regarding documenting and completing "ouch/incident" reports and providing parents copies of the reports in a timely manner. Director to submit signed and dated agenda with staff signatures on or before SEPT. 16, 2021 as Proof of Correction.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by no "ouch reports" provided to parents for 2021 which poses a potential Health and Safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Joanne Domingo	TELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 10-CC-20210610103401

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: STEPPING STONES PRESCHOOL AND CHILD CARE LLC	FACILITY NUMBER: 334843983
	VISIT DATE: 08/16/2021

NARRATIVE

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CONTINUED FROM LIC 9099:

Based upon LPAs observations and information gathered through record reviews, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. The facility is being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1, Section 101218.1(a)(2)(B): Admission Procedures and Parental and authorized Representative's Rights on the attached LIC 9099D.

A copy of this report as well as a copy of the Appeal Rights were provided to Director, Desi Andrews on this date and time.

A Notice of Site Visit was posted and must remain posted for 30 days for public review.

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Joanne Domingo	TELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

LIC9099 (FAS) - (06/04)

Page: 5 of 5