376701315-11-19-2021-10-CC-PBER-C9J2T5-20211208164009

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701315
Report Date: 11/19/2021
Date Signed: 11/19/2021 10:01:39 AM

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
10/11/2021 and conducted by Evaluator Ana Noble

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20211011123632

FACILITY NAME:	A PLACE OF OUR OWN CDC & SCHOOL-AGE PROGRAM/ASH		FACILITY NUMBER:	376701315
ADMINISTRATOR:	ERICA GONZALEZ		FACILITY TYPE:	840
ADDRESS:	120 N ASH STREET		TELEPHONE:	(760) 317-1886
CITY:	ESCONDIO	STATE: CA	ZIP CODE:	92027
CAPACITY:	18	CENSUS: 0	DATE:	11/19/2021
		UNANNOUNCED	TIME BEGAN:	09:16 AM
MET WITH:	Erica Gonzalez		TIME COMPLETED:	10:15 PM

ALLEGATION(S):

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Personal Rights: Facility staff had children watch rated "R" movies while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ana Noble and Licensing Program Manager Pauline Beschorner arrived at this facility to conclude the investigation on the above allegation. LPA and LPM met with Erica Gonzalez, Director, provided purpose of visit, toured and conducted census. A previous visit was conducted on 10/19/21, on this date interviews were conducted and records were reviewed and obtained.

It was alleged that facility staff had children watch rated "R" movies while in care. Based on staff and director's own admission revealed during the summer 2021 a facility staff had shown the children a trailer, of the movie Annabelle. According, to the information disclosed the youngest child present in the classroom, was 6 or 7 year old. This movie is rated "R", and is not age appropriate for any of the children who were present and in care when this trailer was shown.

This agency has investigated the above allegation of facility staff had children watch rated "R" movies while in care. Based on LPA’s interviews conducted, staff own admission this allegation is substantiated.
See LIC 9099C for continuance of this report

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Ana Noble	TELEPHONE: (951) 782-6646
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

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 6

Control Number 10-CC-20211011123632

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: A PLACE OF OUR OWN CDC & SCHOOL-AGE PROGRAM/ASH	FACILITY NUMBER: 376701315
	VISIT DATE: 11/19/2021

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	See LIC9099-D for deficiency cited. A Notice of Site Visit was posted. An exit interview was conducted, appeal rights discussed and provided along with a copy of this report to Ms. Gonzalez, Director on this date. A copy of this report must be made available to the public upon request for three years.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Ana Noble	TELEPHONE: (951) 782-6646
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 6

Control Number 10-CC-20211011123632

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: A PLACE OF OUR OWN CDC & SCHOOL-AGE PROGRAM/ASH	FACILITY NUMBER: 376701315
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/19/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/24/2021 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	Personal Rights. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by: During the summer of 2021 a facility staff had shown the children a trailer, of the movie Annabelle, the information disclosed	1 2 3 4 5 6 7	Director spoke with Staff on July 8, 2021 and has already documents the verbal warning. The director also agrees to conduct training with all staff at the facility regarding, what are and what are not appropriate movies for children to watch while in care.
	8 9 10 11 12 13 14	indicated the youngest child present in the classroom, was 6 or 7 years old. This movie is rated "R", and is not age appropriate for any of the children who were present and in care when this trailer was shown. This is potential health and safety risk if not corrected.	8 9 10 11 12 13 14	Submit copy of agenda with all staff signatures to the department by 11/24/2021.
	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: Ana Noble	TELEPHONE: (951) 782-6646
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 6

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
10/11/2021 and conducted by Evaluator Ana Noble

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20211011123632

FACILITY NAME:	A PLACE OF OUR OWN CDC & SCHOOL-AGE PROGRAM/ASH		FACILITY NUMBER:	376701315
ADMINISTRATOR:	ERICA GONZALEZ		FACILITY TYPE:	840
ADDRESS:	120 N ASH STREET		TELEPHONE:	(760) 317-1886
CITY:	ESCONDIO	STATE: CA	ZIP CODE:	92027
CAPACITY:	12	CENSUS: 0	DATE:	11/19/2021
		UNANNOUNCED	TIME BEGAN:	09:16 AM
MET WITH:	Erica Gonzalez		TIME COMPLETED:	10:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights: Teacher yelled at a child in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Ana Noble and Licensing Program Manager Pauline Beschorner arrived at this facility to conclude the investigation on the above allegation. LPA and LPM met with .Erica Gonzalez, Director, provided purpose of visit, toured and conducted census. A previous visit was conducted on 10/19/21, on this date interviews were conducted and records were reviewed and obtained.

It was alleged that Staff #1, yelled at Child #1 in care. Based on interviews conducted with relevant parties and attempts to interview children in question being unsuccessful, there is no corrobarating evidence to indicate if the reported allegation did or did not take place.

This agency has investigated the allegation of Personal Rights, and due to attempts to interview children in question being unsuccessful the allegation is unsubstantiated at this time. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

See LIC 9099C for continuance of this report

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Ana Noble	TELEPHONE: (951) 782-6646
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 5 of 6

Control Number 10-CC-20211011123632

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: A PLACE OF OUR OWN CDC & SCHOOL-AGE PROGRAM/ASH	FACILITY NUMBER: 376701315
	VISIT DATE: 11/19/2021

NARRATIVE

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An exit interview was conducted, with Ms. Gonzalez. Appeal rights provided, along with a copy of this report was issued to Ms. Gonzalez, Director. A copy of this report must be made available to the public for 3 years.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Ana Noble	TELEPHONE: (951) 295-5832
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

LIC9099 (FAS) - (06/04)

Page: 6 of 6