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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372006368
Report Date: 09/29/2021
Date Signed: 09/29/2021 03:16:53 PM



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
06/14/2021 and conducted by Evaluator Otsanya Cameron
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210614125623
FACILITY NAME:ST. MARY, STAR OF THE SEA PRESCHOOLFACILITY NUMBER:
372006368
ADMINISTRATOR:JORDAN JACKSONFACILITY TYPE:
850
ADDRESS:515 WISCONSIN AVENUETELEPHONE:
(760) 722-7475
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:40CENSUS: 20DATE:
09/29/2021
UNANNOUNCEDTIME BEGAN:
01:47 PM
MET WITH: Director PatriciaTIME COMPLETED:
03:38 PM
ALLEGATION(S):
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facility teacher is not properly supervising the daycare children during outside play,
facility teacher does not allow a child to eat snacks brought from home,
facility teacher speaks inappropriately to children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Otsanya Cameron arrived at the facility to deliver findings for the above allegations. LPA met with Director Patricia toured the facility and confirmed census of 20 children.

It is alleged that, facility teacher is not properly supervising the daycare children during outside play, facility teacher does not allow a child to eat snacks brought from home, facility teacher speaks inappropriately to children in care.

During this investigation, LPA interviewed staff and other pertinent parties. Interviews revealed staff 1 (S1) have been found not properly supervising children during outside play/indoor activity time. S1 has been observed on a cell phone. Interviews revealed that S1 has taken meals away from childre n not allowing the children to eat their complete lunches. In addition, S1 has been heard and seen speaking inappropriately to children in care, using a raised voice which children have perceived as intimidating.

See LIC 9099C for continuance of this report
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
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 3
Control Number 10-CC-20210614125623
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: ST. MARY, STAR OF THE SEA PRESCHOOL
FACILITY NUMBER: 372006368
VISIT DATE: 09/29/2021
NARRATIVE
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Based on interviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

See LIC9099-D for Deficiencies cited.

An exit interview was conducted with the director. A copy of this report and a notice of site visit was provided.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20210614125623
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: ST. MARY, STAR OF THE SEA PRESCHOOL
FACILITY NUMBER: 372006368
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/29/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/06/2021
Section Cited
CCR
101223(a)(3)
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101223 (a)(3)Personal Rights:
The licensee shall ensure that each child is accorded personal rights:(3) To be free from corporal or unusual punishment... humiliation, intimidation, and other actions not limited to: interference with functions of daily living including eating, sleeping, or toileting; This requirement was not met as evidenced by:
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 DIrector states a training on Positive reinforcement and Personal Rights with S1 And a refresher course for all other staff will be conducted and submitted to the dept by POC date 10/6/21
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Licensee did not ensure the personal rights of children in care were not violated. Based on interview, LPA found that meals were removed prematurely from children in care. Additionally, S1 was heard and seen speaking inappropriately to children in care.
This poses a potential risk to the children in care.
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Type B
10/06/2021
Section Cited
CCR
101229(a)(1)
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101229(a)(1) Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children’s needs. (1) No child(ren) shall be left without the supervision of a teacher at any time….Supervision shall include visual observation
This requirement was not met as evidenced by:
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 Director states will rewrite "cell phone" policy and have all staff sign in acknowlegment of policy. Additionally Director will train staff on Supervision.

This will be submtted to the dept by POC date 10/6/21.
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Licensee did not ensure proper care and supervision was maintained. Based on interview, staff was found using cell phone during outdoor and indoor activity time.

This poses a potential 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: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3