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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364813742
Report Date: 12/09/2020
Date Signed: 01/08/2021 04:38:06 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/23/2020 and conducted by Evaluator Aaron Mabika
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20201123121007
FACILITY NAME:ANDERSON COUNTRY PRESCHOOLFACILITY NUMBER:
364813742
ADMINISTRATOR:BEVERLY ANDERSONFACILITY TYPE:
850
ADDRESS:1023 PARADISE WAYTELEPHONE:
(909) 584-0125
CITY:BIG BEAR CITYSTATE: CAZIP CODE:
92314
CAPACITY:45CENSUS: 25DATE:
12/09/2020
UNANNOUNCEDTIME BEGAN:
01:21 PM
MET WITH:Cathryn AndersonTIME COMPLETED:
03:41 PM
ALLEGATION(S):
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Conduct Inimical -Staff #1 and Staff #2 did not follow State COVID-19 mandated guidelines
Criminal Record Clearance: Staff #3 and Staff #4 were observed providing care and supervision without a criminal record clearance.
INVESTIGATION FINDINGS:
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This report is being amended on 12/30/2020 to correct the previous report issued on 12/24/2020. On 12/09/2020, Licensing Program Analyst, Aaron Mabika conducted a subsequent complaint investigation inspection for the purpose of delivering the findings of the above complaint allegations. Upon arrival, LPA was greeted by Kathryn Anderson (AKA Katie). LPA observed 25 children napping and socially distanced. LPA counted three staff and observed staff wearing face coverings.
The investigation consisted of Interviews with all parties involved including, but not limited to Department of Public Health Professionals.
The investigation revealed that Staff #1 and Staff #2 did not follow State COVID-19 mandated guidelines by not enforcing staff and children to wear facial coverings while at the facility. Staff #6 was observed preparing food in the kitchen without facial covering. On three separate occasions 11/24/20, 12/04/20 and most recent 12/08/20 (during a tele-visit communication with Staff #2), LPA Mabika observed children and staff not wearing facial coverings. Further, Staff #6 was also observed preparing food in the kitchen without facial covering.
See Complaint Investigation Report LIC9099C for additional information.




Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Scott HerringTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Claretta YatesTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020
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 3
Control Number 12-CC-20201123121007
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ANDERSON COUNTRY PRESCHOOL
FACILITY NUMBER: 364813742
VISIT DATE: 12/09/2020
NARRATIVE
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Conduct Inimical -Staff #1 and Staff #2 did not follow State COVID-19 mandated guidelines

Criminal Record Clearance: Staff #3 was observed providing care and supervision to children on two separate occasions a $200 civil penalty was assessed. Staff #4 started working in the facility effective 11/17/2020 and was observed providing care and supervision without a criminal record clearance a $500.00 civil penalty was assessed.


Based on the information obtained during the interviews conducted and LPA’s own observations, the preponderance of evidence has been met; therefore, the above allegations have been substantiated.

Licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. A copy of this licensing report (LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent and a copy of the Acknowledgment of receipt of licensing report (LIC9224) must be kept in each child's file. In addition, any child enrolled within the following 12 months must also receive a copy of the Type A Citation.




An exit interview was conducted, and a copy of this report was provided along with the appeal rights to Licensee.
SUPERVISOR'S NAME: Scott HerringTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Claretta YatesTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20201123121007
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ANDERSON COUNTRY PRESCHOOL
FACILITY NUMBER: 364813742
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/09/2020
Section Cited
HSC
1596.885(c)
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Conduct Inimical: Licensee engaged in conduct which is inimical to the health, morals, welfare, or safety of children. This requirement was not met as evidence. Licensee engaged in conduct which is inimical to the health, morals, welfare, or safety of children. This requirement was not met as evidence by Staff #1 and Staff #2 did not follow state mandated guidelines by not enforcing staff and children to wear facial coverings while at the facility. On three separate occasions 11/24/20, 12/04/20 and 12/08/20, LPA Mabika observed Staff #2 providing care to children who were not wearing facial coverings. Staff #5 was observed preparing food in the kitchen without facial covering. This is a Type A violation and it poses an immediate risk to the health and safety of children in care.
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Staff will wear facil coverings during care and during food preparation.
All staff were observed to be wearing face coverings were Findings were delivered
Type A
12/09/2020
Section Cited
CCR
101170((e)(1)
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Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department.
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All staff shall obtain a criminal record cleanance and associated to the facility Prior to working or being present in the facility. Staff #3 wasn't present during this inspection. Staff #4 left the facility while LPA was conducting the inspection.
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This requirement was not met as evidence by Staff #3 and Staff #4 were observed providing care and supervision without a criminal record clearance. #3 provided care and supervision on 11/23 and 11/24 2020. Staff #4 was observed working in the facility on 11/24/20 (staff has been working in the facility since 11/17/20 without a criminal record clearance). This is a Type A violation and it poses an immediate risk to the health and safety of 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: Scott HerringTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Claretta YatesTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3