372006473-8-17-2021-10-CC-PBER-C6AU3H-20210827151332

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 372006473
Report Date: 08/17/2021
Date Signed: 08/17/2021 01:15:09 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
08/10/2021 and conducted by Evaluator Otsanya Cameron

COMPLAINT CONTROL NUMBER: 10-CC-20210810133447

FACILITY NAME:	COMMUNITY LUTHERAN PRESCHOOL		FACILITY NUMBER:	372006473
ADMINISTRATOR:	GUSTINE, DEANNA		FACILITY TYPE:	850
ADDRESS:	3575 E. VALLEY PARKWAY		TELEPHONE:	(760) 739-8649
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	120	CENSUS: 39	DATE:	08/17/2021
		UNANNOUNCED	TIME BEGAN:	11:12 AM
MET WITH:	Director Deanna Gustine		TIME COMPLETED:	01:25 PM

ALLEGATION(S):

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Facility not following COVID Guidelines

INVESTIGATION FINDINGS:

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Licensing Program Analyst, (LPA), Otsanya Cameron made an initial 10-Day unannounced complaint investigation visit to address the above allegations. A Covid-19 Facility Prescreening was conducted prior to inspection. LPA met with Director Deanna Gustine, for an interview and to discuss complaint allegations.

During this visit, LPA toured physical plant, and observed that the center was operating within terms of the license. A census of 39 was confirmed in which LPA observed 6 active classrooms. Three classrooms were having snack, two were engaged in outdoor activity, and one classroom with a census of (8) engaged in story-time with a total of only (2) children wearing masks. None of the staff were observed wearing mask per updated guidance provided by California Department of Public Health. Director states had a slight misunderstanding of the guidance as to what is a recommendation versus what is a requirement.
Continued in LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021

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 10-CC-20210810133447

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: COMMUNITY LUTHERAN PRESCHOOL	FACILITY NUMBER: 372006473
	VISIT DATE: 08/17/2021

NARRATIVE

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Director states this is the very beginning of the new school year (Day 2) and also mentioned that children with special needs have difficulty seeing expressions of teachers who wearing masks, however a face shield was not worn as substitute.

LPA reviewed and requested copies of the following information: 1.) Facility News Letter.

The facility self assessment checklist was found and it determined that a Covid-19 Rapid Assistance and technical support team (RAST) visit was previously conducted on or around July 2020, in which guidance was discussed in detail with Director.

Director now has the most current and updated guidance issued 6/29/21.

Based on LPA's observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Exit interview conducted with the Licensee and a Notice of Site visit given. LPA observed posting.

Appeal rights issued and discussed.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20210810133447

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: COMMUNITY LUTHERAN PRESCHOOL	FACILITY NUMBER: 372006473
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/17/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/17/2021 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.	1 2 3 4 5 6 7	Director purchased face sheilds to assist with staff wearing masks and has extra on hand. directo will conduct an addiitonal training for staff to review guidance on Masks and continue to encourage children to wear masks in classrooms.
	8 9 10 11 12 13 14	On 8/17/21 Licensee did not ensure the personal rights of persons in care to safe and healthful accomodations and engaged in conduct inimical to the health, welfare and safety of persons in care, 1Staff and 6 children over the age of 2 in classroom 10 did not wear face coverings while in the facility------->	8 9 10 11 12 13 14	------> as required by the CA dept of Public Health Guidance on the use of face coverings issued June 2020 and updated in COVID-19 Industry Guidance for child care settings updated June 29.2021. This poses a potential risk to children in care.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021

LIC9099 (FAS) - (06/04)

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