376600052-9-27-2021-10-CC-CMAZ-C7TMCQ-20211015092952

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600052
Report Date: 09/27/2021
Date Signed: 09/27/2021 03:07:56 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
08/30/2021 and conducted by Evaluator James Wilkerson

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20210830150436

FACILITY NAME:	CHRIST THE KING LUTHERAN PRESCHOOL		FACILITY NUMBER:	376600052
ADMINISTRATOR:	COSTA, ANGELA		FACILITY TYPE:	850
ADDRESS:	1620 SOUTH STAGECOACH		TELEPHONE:	(760) 728-7908
CITY:	FALLBROOK	STATE: CA	ZIP CODE:	92028
CAPACITY:	68	CENSUS: 14	DATE:	09/27/2021
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Angela Costa		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Children not wearing masks

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) James Wilkerson and Sumayya Habeebulla arrived at the facility to conclude the investigation into the above allegation. An initial visit was conducted on 09/01/21 and extended at that time. LPAs toured the facility and conducted census. During the course of this investigation seven staff and four children were interviewed. There was an allegation that children are not wearing masks and not being encouraged to wear face coverings. LPAs observed during the initial visit that no children were wearing masks and all staff were. LPAs received conflicting information on whether or not children are being encouraged to wear face coverings. Face masks were observsed to be inside classrooms and inside children's cubbies. LPAs are unable to prove that this allegation is true or not. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted and a Notice of Site Visit was posted on this date.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

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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