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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372000408
Report Date: 06/29/2021
Date Signed: 06/29/2021 11:24:56 AM



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
03/18/2021 and conducted by Evaluator Jeanette Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210318125527
FACILITY NAME:NOAH'S ARKFACILITY NUMBER:
372000408
ADMINISTRATOR:HUGHES, PEGGYFACILITY TYPE:
850
ADDRESS:1410 FOOTHILL DRIVETELEPHONE:
(760) 724-5445
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:58CENSUS: 38DATE:
06/29/2021
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Christina TorresTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Staff denied an authorized representative access to the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jeanette Sanchez conducted an unannounced visit to the facility to conclude an investigation into the above complaint allegations. LPA spoke with the Director. LPA verified census. An initial tele-visit was conducted on 03/25/2021. During this investigation, LPA toured the facility, conducted record reviews and interviews.

LPA interviewed staff, who stated that due to the pandemic and directives from the California Department of Public Health in conjuction with the California Department of Social Services Community Care Licensing, visits were being limited in order to protect the health and safety of the children. Staff was recommending authorized representatives to schedule visits during non-operating hours. Email addresses were provided for each classroom for authorized representatives to communicate with staff.

LPA reviewed written communication in which staff and authorized representative discussed alternatives such as video tours as well as a plan for the facility to host an Open House.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
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 2
Control Number 10-CC-20210318125527
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: NOAH'S ARK
FACILITY NUMBER: 372000408
VISIT DATE: 06/29/2021
NARRATIVE
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Based on observations, interviews and record reviews, the allegations are UNSUBSTANTIATED.

This agency has investigated the complaint alleging staff denied an authorized representative access to the facility. It was found that the facility staff was making attempts to follow COVID-19 guidelines while offering alternatives to authorized representatives. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted, a Notice of Site Visit posted and a copy of this report was provided to Director on this date.
SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2