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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372001179
Report Date: 12/17/2024
Date Signed: 12/17/2024 01:45:38 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/12/2024 and conducted by Evaluator Gerald Poindexter
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20241212161707
FACILITY NAME:RAMONA LUTHERAN SCHOOLFACILITY NUMBER:
372001179
ADMINISTRATOR:ANGELA APODACAFACILITY TYPE:
850
ADDRESS:520 16TH STREETTELEPHONE:
(760) 789-4804
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY:66CENSUS: 13DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Karl Blank and Angela ApodacaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Uncleared adult employed at the facility.
INVESTIGATION FINDINGS:
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On 12/17/24 at 10:30 am, Licensing Program Analyst (LPA) Gerald Poindexter conducted an unannounced complaint inspection for the purpose of investigating the above allegation. LPA met with Angela Apodaca and Karl Blank, school director. Ms. Apodaca reports to Mr. Blank. Preschool census was 13 children with 2 staff members. During our tour, LPA observed appropriate ratios and capacity.

LPA toured the facility, conducted staff interviews, made a confidential names list, and reviewed facility records and staff files. It was alleged that a staff memeber S1 is an uncleared adult at the facility. As of the today, LPA Poindexter confirms that S1 is background cleared and associated to the facility. However, a letter from the Care Provider Management Bureau (CPMB) provides date of clearance for S1 as 11/5/24. A Background Transfer Clearance form (LIC9182) for S1 was dated and signed by Ms. Apodaca on 10/30/24. S1 stated in an interview with LPA Poindexter that their first date of work was 8/15/24 and that they has been working continuously in the classroom. Based on interview and staff and facility records, the LPA has determined
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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 51-CC-20241212161707
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: RAMONA LUTHERAN SCHOOL
FACILITY NUMBER: 372001179
VISIT DATE: 12/17/2024
NARRATIVE
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that S1's clearance was in pending status while she was employed at the facility. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED and a Type A deficiency is being cited on the attached LIC 9099D. A civil penalty of $500 will be issued on the attached form 421BG.

See LIC9099D for Type deficiencies cited.

LPA Gerald Poindexter informed the facility representatives that this report dated 12/17/24 documents one Type A citation which shall be posted for 30 consecutive days as there was immediate risk to the health, safety, or personal rights of children in care. Also, LPA Poindexter informed the facility representatives to provide a copy of this licensing report dated 12/17/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Please be advised that FAILURE TO PAY the required civil penalty payment may result in the REVOCATION OF YOUR LICENSE. You must respond within 30 days with the payment of or a proposed payment plan that includes the first payment. Further, the Department will not approve any requests for increase in capacity or for additional capacity of additional licenses while civil penalties remain unpaid.

Exit interview conducted and report was reviewed with Angela Apodaca, director and Karl Blank, school principal. 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. Appeal rights were provided.

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20241212161707
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: RAMONA LUTHERAN SCHOOL
FACILITY NUMBER: 372001179
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/17/2024
Section Cited
CCR
101170(e)(1)
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Criminal Record Clearance. All individuals subject to a criminal record review...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 . This requirement was not met as evidenced by:
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Director and school principal state that they will ensure that all future hires have a completed clearance prior to presence in the facility. As of today, staff S1 is cleared and associated to the facility. The deficiency has been cleared.
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Based on interview and records review, staff S1 was hired and allowed to work before the background clearance was completed. This is 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.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3