364843934-5-5-2022-09-CC-AROS-CF7NMC-20220608103454

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364843934
Report Date: 05/05/2022
Date Signed: 05/05/2022 01:17:54 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 ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/04/2022 and conducted by Evaluator Rachel Zeron

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20220304095856

FACILITY NAME:	GOOD SHEPHERD CHRISTIAN PRESCHOOL		FACILITY NUMBER:	364843934
ADMINISTRATOR:	SARAH PARK		FACILITY TYPE:	850
ADDRESS:	2600 GRAND AVENUE		TELEPHONE:	(909) 591-6501
CITY:	CHINO HILLS	STATE: CA	ZIP CODE:	91709
CAPACITY:	90	CENSUS: 70	DATE:	05/05/2022
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Sarah Park-Director		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Facility operating out of ratio.

INVESTIGATION FINDINGS:

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On 05/05/2022, Licensing Program Analyst (LPA) Rachel Zeron made an unannounced visit to the facility to deliver findings for a complaint that was filed on 03/04/2022. LPA met with Sarah Park, Director. The following was alleged: Facility operating out of ratio. .LPA reviewed records/documents, interviewed staff, and made direct observations of teacher to child ratios in all functioning classrooms. On this visit , the facility’s staff/child ratio was found to be in compliance.

On 03/08/2022 and 03/29/2022, LPA made a subsequent unannounced visits to the facility to observe staff/child ratios. LPA directly observed adequate and qualified staff for the number of children and found the facility to be in compliance. Additionally, LPA reviewed multiple Teacher/child ratio logs as well as sign in/out sheets for staff/children from past dates. These documents indicated the facility has maintained and documented staff/child ratios during all hours of operation. LPA did not observe any recorded incidents of the facility operating out of ratio.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022

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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Control Number 09-CC-20220304095856

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: GOOD SHEPHERD CHRISTIAN PRESCHOOL	FACILITY NUMBER: 364843934
	VISIT DATE: 05/05/2022

NARRATIVE

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As part of the investigation process, LPA interviewed the pertinent parties involved in the operations and supervision of children enrolled in the Facility’s preschool program A recorded conflicting information from individuals interviewed from what is being alleged. Interviews revealed that some parties deny the facility is ever out of ratios while others acknowledge that at times, the facility can be over ratio for brief periods of times. LPA was unable to determine dates, times, number of occurrences or review documents to support staff’s statements to corroborate the allegation of this complaint.

Therefore, due to conflicting information found throughout this investigation this agency has investigated the complaint alleging Facility is operating out of ratio. Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A NOTICE OF SITE VISIT WAS GIVEN. DIRECTOR WAS INSTRUCTED TO POSTED IT IN A PROMINENT LOCATION AT THE FACILITY. THE DIRECTOR UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

An exit interview was conducted, A copy of this report and appeal rights were given to the Director during this visit on 05/05/2022.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022

LIC9099 (FAS) - (06/04)

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