393608039-6-5-2019-03-CC-JSMH-BEDQL6-20190724121523

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393608039
Report Date: 06/05/2019
Date Signed: 06/05/2019 10:56:30 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/25/2019 and conducted by Evaluator Justin L Denton

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20190425143148

FACILITY NAME:	ST. PETER'S PRESCHOOL		FACILITY NUMBER:	393608039
ADMINISTRATOR:	LONG, SHANNA		FACILITY TYPE:	850
ADDRESS:	2400 OXFORD WAY		TELEPHONE:	(209) 333-2225
CITY:	LODI	STATE: CA	ZIP CODE:	95242
CAPACITY:	48	CENSUS: 14	DATE:	06/05/2019
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Shanna Long		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility not following parent handbook

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Justin Denton arrived to the facility to investigate the the above complaint allegation. LPA was met by Director Shanna Long. There were 15 children present.

During the investigation, LPA Denton interviewed Director Long, Staff 1 (S1), and Staff 2 (S2). LPA also obtained documents titled "Suggested Snack Ideas," and snack calenders for April and May 2019. During interviews on 5/29/19, S1 and S2 stated that parents sign up on the calendars to bring snacks. The newsletter distributed to the parents mentions an assigned "share day" for each child where the parent will supply the snack. During an interview with Director Long on 5/8/19, she confirmed that this is inconsistent with the policy outlined in the Parent Handbook stating that teachers will supply a snack for the whole class, with parents allowed to sign up to bring a snack.

Based on interviews and observations the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations Title 22 is being cited on the attached LIC 9099D. Exit interview conducted and notice of site visit posted.

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019

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 03-CC-20190425143148

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: ST. PETER'S PRESCHOOL	FACILITY NUMBER: 393608039
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/05/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/05/2019 Section Cited CCR 101219(f)	1 2 3 4 5 6 7	Admissions Agreement: The licensee shall comply with all terms and conditions set forth in the admission agreement. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee will draft an addendum to the agreement for parents to sign and keep a signed copy in each child's file. Licensee will submit a copy of the addendum to CCL by the due date. Licensee will update agreement for the 2019/2020 school year.
	8 9 10 11 12 13 14	LPA observed that facility was assigning parents a snack "share day" which is inconsistent with the admission agreement language that teachers supply the snack.	8 9 10 11 12 13 14
	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: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019

LIC9099 (FAS) - (06/04)

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