364813742-12-30-2020-12-CC-CYAS-BX42TH-20210108164043

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364813742
Report Date: 12/09/2020
Date Signed: 12/30/2020 04:13:10 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 PRESCHOOL		FACILITY NUMBER:	364813742
ADMINISTRATOR:	BEVERLY ANDERSON		FACILITY TYPE:	850
ADDRESS:	1023 PARADISE WAY		TELEPHONE:	(909) 584-0125
CITY:	BIG BEAR CITY	STATE: CA	ZIP CODE:	92314
CAPACITY:	45	CENSUS: 25	DATE:	12/09/2020
		UNANNOUNCED	TIME BEGAN:	01:21 PM
MET WITH:	Cathryn Anderson		TIME 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 Herring	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Claretta Yates	TELEPHONE: (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)

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