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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364801214
Report Date: 04/20/2023
Date Signed: 04/20/2023 11:58:20 AM

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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/12/2023 and conducted by Evaluator Blanca Ruiz-Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20230412120138
FACILITY NAME:PSD/ONTARIO HEAD STARTFACILITY NUMBER:
364801214
ADMINISTRATOR:WILLIAM ALVAREZFACILITY TYPE:
850
ADDRESS:555 W. MAPLE AVENUETELEPHONE:
(909) 984-4117
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:224CENSUS: 16DATE:
04/20/2023
UNANNOUNCEDTIME BEGAN:
07:40 AM
MET WITH:Williams AlvarezTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Facility is out of ratio.
INVESTIGATION FINDINGS:
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On April 20, 2023 Licensing Program Analyst (LPA) Blanca Ruiz conducted an inspection to the above-named facility for a complaint investigation. LPA was given access to the facility by Lead Teacher II, Joyce Alex,15 minutes later facility Director, Mr. William Alvarez arrived to the facility. The center was toured, and a census was taken. Upon arrival to the facility LPA Ruiz observed 15 children in the multipurpose room (Classroom
N.61) under the supervision of Staff N.1. Few minutes later Staff N.2 arrived to remove additional children, plus an additional child that was arriving with parent/ legal guardian. Children were taken to Classroom N.93 with Staff N.3. During this inspection records were reviewed and interviews were conducted with pertinent parties. The following information was discuss with facility director: It was reported that the facility is operating out of ratio. It was confirmed during this inspection that facility is operating out of ratio as per LPAs observation and Staff N.1's admission:
Per Title 5 of the California Code of Regulations provides: Preschool (36 months to enrollment in kindergarten) - 1:8 Teacher to Child ratio. Title 22 Preschool Teacher to Child ratio 1:12. Please see LIC 9099C and LIC 9099D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023
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 4
Control Number 09-CC-20230412120138
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: PSD/ONTARIO HEAD START
FACILITY NUMBER: 364801214
VISIT DATE: 04/20/2023
NARRATIVE
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Based on records review, interviews conducted and staff's own admission. It was confirmed that the facility was out of compliance. Therefore the preponderance of evidence standard has been met, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, divisions & chapter number are being cited on the attached LIC 9099D.)
Exit interview conducted and report was reviewed with Director, William Alvarez. Appeal rights were discussed, and a notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 09-CC-20230412120138
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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: PSD/ONTARIO HEAD START
FACILITY NUMBER: 364801214
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/20/2023
Section Cited
CCR
101216.3(a)
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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below....This requirement is not met as evidenced by: Per LPAs observations and Staff own admission facility has been out of ratio approximately 3-5 times during 03/23 and 04/2023. In addition,
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Director agrees to provide a plan of action for back up personnel to anticipate teacher absences due to unforeseen situations to be in substantial compliance. Statement of understanding will be providing by morning staff to be in substantial compliance according to Title 22/101216.3(a) Teacher to Child Ratio.
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Upon arrival to the facility LPA Ruiz observed 15 children in the multipurpose room (Classroom N.61) under the supervision of Staff N.1. Few minutes later Staff N.2 arrived to remove additional children and they were taken to Classroom N.93 with Staff N.3. "This is an immediate Health and Safety risk for the children".
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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.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4