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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334844170
Report Date: 06/08/2022
Date Signed: 06/08/2022 02:03:30 PM

Unsubstantiated


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
05/03/2022 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220503160323
FACILITY NAME:STORYBOOK PRESCHOOLFACILITY NUMBER:
334844170
ADMINISTRATOR:CYNTHIA ROSAFACILITY TYPE:
850
ADDRESS:31910 MISSION TRAILTELEPHONE:
(951) 387-5895
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY:156CENSUS: 74DATE:
06/08/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Cynthia RosaTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff handled day care children in a rough manner

Staff yells at day care children
INVESTIGATION FINDINGS:
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On 06/08/2022 at 1:30PM, Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced inspection to deliver the findings on the above stated complaint allegations. LPA Wilburn met with Director Cynthia Rosa and discussed the purpose of today’s inspection.

Investigation consisted of an initial inspection on 05/10/2022, interviews with Director, Teachers, potential witnesses and complainant.

On 05/03/2022, complaint allegations were received by the Community Care Licensing (CCL) office that staff handled day care children in a rough manner, and staff yells at day care children. LPA interviewed staff from assigned classroom and four children. There were inconsistencies with information provided by all staff. The children identified as witnesses and/or "victims" deny experiencing physical aggression by Teacher or being yelled at. There were no other witnesses identified.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
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 2
Control Number 10-CC-20220503160323
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: STORYBOOK PRESCHOOL
FACILITY NUMBER: 334844170
VISIT DATE: 06/08/2022
NARRATIVE
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Based on interviews with staff and children, the allegations that staff handled day care children in a rough manner, and staff yells at day care children, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegations are UNSUBSTANTIATED at this time.

Exit interview conducted and a copy of the report along with the appeal rights were provided to Director Cynthia Rosa.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2