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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372006237
Report Date: 07/08/2022
Date Signed: 07/08/2022 10:51:33 AM

Substantiated


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
04/01/2022 and conducted by Evaluator Cindy Hamilton
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220401115954
FACILITY NAME:GRACE LUTHERAN PRESCHOOLFACILITY NUMBER:
372006237
ADMINISTRATOR:BRE MANATAFACILITY TYPE:
850
ADDRESS:643 W. 13TH AVETELEPHONE:
(760) 747-3029
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:155CENSUS: 11DATE:
07/08/2022
UNANNOUNCEDTIME BEGAN:
09:53 AM
MET WITH:Darlene Beebe, DirectorTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Staff inappropriately disciplines daycare children.
INVESTIGATION FINDINGS:
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On July 8, 2022 at 10:03 AM, Licensing Program Analyst (LPA) Cindy Hamilton met with Grace Lutheran Preschool (CCC) Director, Darlene Beebe to deliver the findings of the above allegations. On April 7, 2022, LPA Hamilton conducted a health and safety inspection of the facility and no immediate concerns were noted. Copies of childcare roster and staff roster were obtained. Interviews were conducted with seven children and six staff. Ben Elliott, Superintendant was present for the reading of this report.

On April 1, 2022, Community Care Licensing (CCL) received information stating staff inappropriately disciplines daycare children. In regard to the allegation that staff inappropriately disciplines daycare children, it was alleged that in March 2022, during lunch Child #1’s (C1’s) chair was taken from C1 and Staff #2 (S2) sat in the chair for 30 minutes while C1 ate C1’s lunch standing up. Confidential interviews resulted in conflicting information being provided to LPA. Confidential interviews disclosed to LPA that C1’s chair was taken away from C1 for the entire lunch period and humiliated in front of classmates due to C1 spitting in someone’s lunch and leaning back in
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022
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 5
Control Number 10-CC-20220401115954
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: GRACE LUTHERAN PRESCHOOL
FACILITY NUMBER: 372006237
VISIT DATE: 07/08/2022
NARRATIVE
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C1’s chair; whereas other confidential interviews disclosed C1’s chair was taken away by S2 for only a few minutes to let C1 think about C1’s actions and for S2 to speak to C1 about what C1 did. Other confidential interviews disclosed that S2 just pushed C1’s chair behind C1 as C1 stood and S2 spoke to C1 regarding C1’s leaning back in C1’s chair. Additional interviews disclosed that S2 and Staff #3 (S3) had taken away the chairs of two other children in the class for a few minutes as a form of discipline due to the children leaning in their chairs, putting feet on the table or talking to their friends during lunch.

Based on confidential interviews the preponderance of evidence has been met and the allegation that staff inappropriately disciplined a child while in care is substantiated. The facility is being cited for Title 22, Section 101223 (a)(3) Personal Rights which poses a potential health and safety risk to children in care.

An exit interview was conducted, this report, appeal rights and Notice of Site Visit was explained and provided to Director. Director was reminded that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 10-CC-20220401115954
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: GRACE LUTHERAN PRESCHOOL
FACILITY NUMBER: 372006237
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
08/12/2022
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights, the licensee shall ensure that each child is accorded the following personal rights; To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by:
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Director informed LPA Hamilton a retraining of staff will be completed by August 12, 2022 of the discipline procedures and personal rights to be utilized in the Child Care Center with children in care. Director will submit proof of completed training via email. Director will include the sign-in sheets and training curriculum.
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Based on confidential interviews, the allegation that children’s chairs are taken away and are made to stand-up as a form of discipline which poses a potential health and safety risk to 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: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
04/01/2022 and conducted by Evaluator Cindy Hamilton
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220401115954

FACILITY NAME:GRACE LUTHERAN PRESCHOOLFACILITY NUMBER:
372006237
ADMINISTRATOR:BRE MANATAFACILITY TYPE:
850
ADDRESS:643 W. 13TH AVETELEPHONE:
(760) 747-3029
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:155CENSUS: 11DATE:
07/08/2022
UNANNOUNCEDTIME BEGAN:
09:53 AM
MET WITH:Darlene Beebe, DirectorTIME COMPLETED:
10:50 AM
ALLEGATION(S):
1
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3
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9
Staff did not properly supervise daycare child.
INVESTIGATION FINDINGS:
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On July 8, 2022 at 10:40 AM, Licensing Program Analyst (LPA) Cindy Hamilton met with Grace Lutheran Preschool (CCC) Director, Darlene Beebe to deliver the findings of the above allegations. On April 7, 2022, LPA Hamilton conducted a health and safety inspection of the facility and no immediate concerns were noted. Copies of childcare roster and staff roster were obtained. Interviews were conducted with seven children and six staff.

On April 1, 2022, Community Care Licensing (CCL) received information stating staff did not properly supervise daycare child. Regarding the allegation that staff did not properly supervise daycare child, it was alleged that Child #3 (C3) was observed standing outside the classroom door alone changing clothes. Confidential interviews resulted in conflicting information being provided to LPA. A confidential interview disclosed that on an unknown date, from the playground area, C3 was seen outside a classroom door, had taken off C3’s underwear, pants, shoes and socks and there was no teacher around.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 10-CC-20220401115954
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: GRACE LUTHERAN PRESCHOOL
FACILITY NUMBER: 372006237
VISIT DATE: 07/08/2022
NARRATIVE
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Also, disclosed to LPA was that there were no other witnesses. Other confidential staff interviews disclosed to LPA that staff were not aware of the alleged incident. Another confidential interview disclosed that the alleged incident was reported to CCC’s Administration as S2 was observed changing C2 outside the classroom door, which was denied by S2 and S3 when speaking to Administration. A confidential interview also disclosed that the classroom door is sometimes open with a chair but there is usually a teacher at the desk close to the door when that is done. On April 7, 2022, LPA Hamilton visited the CCC, observed the CCC to be working within appropriate ratios and there were no health and safety concerns noted.

Based on confidential interviews, the allegation that staff did not properly supervise daycare child, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. A copy of this report, appeal rights and Notice of Site Visit were provided to Director. Director was reminded that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5