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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334844364
Report Date: 08/17/2021
Date Signed: 08/17/2021 03:17:01 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
06/23/2021 and conducted by Evaluator Otsanya Cameron
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210623131240
FACILITY NAME:MURRIETA UNIVERSITY, LLCFACILITY NUMBER:
334844364
ADMINISTRATOR:BRANDI MCCORMICKFACILITY TYPE:
850
ADDRESS:39840 LOS ALAMONS ROAD #14TELEPHONE:
(951) 698-5480
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:101CENSUS: 29DATE:
08/17/2021
UNANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:Doreen Blake- DirectorTIME COMPLETED:
03:32 PM
ALLEGATION(S):
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 Facility not following COVID- Guidance
Facility has an odor
Staff did not keep playground free from hazards
Staff did not adequately supervise children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPAs) Otsanya Cameron arrived at the facility to deliver findings for the above allegations. LPA was met with Director Blake, took a tour of the facility, and confirmed census of 29 children.

It was alleged staff are not following COVID-19 guidance, staff do not adequately supervise children, staff are not keeping the facility free from hazards, and the facility has an odor. During investigation, LPAs conducted multiple physical plant inspections inside and of the facility and the outdoor activity space, interviewed staff, and interviewed children.

Interviews revealed staff are aware the facility has an odor, which stems from the sewage/drains, which is connected to all the buildings located in the strip mall. Staff are instructed to keep doors open in the morning to air out the building before opening. The director stated the staff will utilize plug in air fresheners to help with the odor.

Continued on LIC9099-c
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
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 6
Control Number 10-CC-20210623131240
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: MURRIETA UNIVERSITY, LLC
FACILITY NUMBER: 334844364
VISIT DATE: 08/17/2021
NARRATIVE
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At this time, none of the children/staff interviewed expressed any concern regarding the odor in the facility. LPAs were able to smell the odor consistent with staffs statement of sewage/drains.

LPAs observed all staff wearing masks, however none of the children were wearing masks nor have they ever been required to wear one. Interviews revealed a recent change in facility management may have created a lapse of understanding of the CDPH/CCLD partnership and COVID-19 Guidance. A technical assistance visit was conducted on 7/6/21 in which the most recent COVID-19 guidance was provided to and reviewed with Director and Licensee.

LPAs observed staff and children outdoors during the outdoor activity time scheduled in the morning. All classrooms are currently using the playground simultaneously due to current weather conditions (summer heat). On 7/15/21 at approximately 8:25am, LPAs observed staff not adequately supervising all children on the playground. At 8:30am LPAs observed staff did not have visual observation of 4 children in various play areas. LPAs observed two children playing on the swings while all other children (approximately 19) and 2 Staff were on the other side of the playground, at least 25-30 ft away. Another pair of children ran to play under shading towards the back of the playground. At no time during LPAs observation were staff appropriately positioned to monitor the entire playground.

During physical plant inspection, LPA observed what were identified as “Stepping-Stones” on the playground. These stones are embedded in the dirt on the left side of the playground near the small play structure; however, the stones are a tripping hazard as the dirt around the stones are no longer level to the surface. Interviews revealed children have previously fell on the unleveled ground. According to the director, there is a plan in place to restructure/resurface the area; however, there are no current means to prevent children tripping.

Based on LPA’s observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.
See LIC809D for deficiencies

An exit interview was conducted with the director. A copy of this report and a notice of site visit was provided.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 10-CC-20210623131240
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: MURRIETA UNIVERSITY, LLC
FACILITY NUMBER: 334844364
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/17/2021
Section Cited
CCR
101223(a)(2)
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101223 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 will purchase plug-ins for immediate assistance with smell and contact property management to assist in get insight on how to remove smell altogether or correct plumbing issue. Director will provide proof of contact with property management by 9/17/21
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Staff interviews and what LPAs smelled while touring the facility

This poses a potential risk ro children in care.
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Type B
09/17/2021
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation. This requirement was not met as evidenced by:
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DIrector will conduct a training on "assigned observation spaces" for the outdoor activity space. Director will provide training on Supervision and provide proof of training to the department by 9/17/21
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During inspection LPAs observed at least 4 children during outdoor activity time out of visual supervision.
This poses a potential risk to children 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: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 10-CC-20210623131240
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: MURRIETA UNIVERSITY, LLC
FACILITY NUMBER: 334844364
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/17/2021
Section Cited
CCR
101238.2
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101238.2 Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained:
(2) Free of hazards including, but not limited to, holes, broken glass and other debris...
This requirement was not met as evidenced by:
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On 7/30/21 Licensee and Director completely removed the stepping stones from the playground.
On today's dated 8/17/21 LPA completed an additional physical plant inspection and observed no other hazards of this nature in the outdoor activity space.
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Licensee did not ensure the outdoor activity
space is free of hazards. Based on LPA's observation and interview with Director, there are "stepping stones" which are not leveled that are identified as a tripping hazard.

This poses a potential risk to children 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: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 6