401712125-3-2-2021-17-CC-MMUR-BYY2FA-20210309162111

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 401712125
Report Date: 03/01/2021
Date Signed: 03/02/2021 09:17:52 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/18/2020 and conducted by Evaluator Elvin Baddley

COMPLAINT CONTROL NUMBER: 17-CC-20201218132054

FACILITY NAME:	SINSHEIMER SUN ' N FUN PROGRAM		FACILITY NUMBER:	401712125
ADMINISTRATOR:	M. BURGER/ ELLEN BOYLE		FACILITY TYPE:	840
ADDRESS:	2755 AUGUSTA ST.		TELEPHONE:	(805) 781-7289
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY:	66	CENSUS: 0	DATE:	03/01/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Meghan Burger		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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1. Staff uses inappropriate language with children

INVESTIGATION FINDINGS:

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On 3/1/21, at 9:30 AM, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced inspection to the aforementioned Child Care Center (CCC) in order to complete the investigation of the above allegation. Due to COVID-19 and the California Department of Public Health's guidelines pertaining to social distancing, the inspection was conduct virtually, via the Face Time Application. with Administrator Meghan Burger. LPA conducted a Pre-screening prior to the inspection, asking the Administrator COVID 19 related exposure questions. All responses conveyed by the Administrator suggested no COVID-19 exposures on site.
LPA tourer the interior and exterior of the CCC in company of the Administrator. LPA notes there are no children in care at the time of the inspection as the CCC was closed. LPA observed the CCC to contained age appropriate furnishings and equipment. The CCC had proper ventilation. LPA reviewed the room temperature and noted a reading of 65 degrees. The Administrator informed LPA the air conditioning for the room had been turned off as the site is closed and had been closed prior. Administrator turned on the air conditioner during the visit and LPA observed the air conditioning system was operational.
(Cont. 9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021

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 17-CC-20201218132054

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SINSHEIMER SUN ' N FUN PROGRAM	FACILITY NUMBER: 401712125
	VISIT DATE: 03/01/2021

NARRATIVE

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The investigation included record reviews and an interview of the Complainant, along with interviews of a sampling of CCC’s staff members and parents of children in care. As noted above the specific allegation of the complaint is with regard CCC staff using inappropriate language with children in care.

During the course of interviews, LPA was informed of Staff # 1 uttered an inappropriate word when playing checkers with children in care. The incident was confirmed when LPA interviewed Staff #1. Further, the Director informed LPA of Staff #1 using an inappropriate word when flying paper planes with children in care. Staff #1’s use of the same inappropriate words was confirmed during interviews LPA had with Complainant and parents in care. In essence, Staff #1’s use of inappropriate language when with children in care was corroborated and confirmed.

Based on LPAs observation and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation, (Title 22 Division 12 and 101223(a)(1), is being cited on the attached LIC 9099 D).

A closing interview was conducted with Administrator. Administrator was provided and advised of their right to appeal. A copy of this report was reviewed and provided to the Administrator via email. The delivered receipt confirmation from email will be in lieu of her signature once Administrator received the report. LPA requested a signed copy be provided to Community Care Licensing.

The Notice of Site Visit was also provided to the Administrator as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021

LIC9099 (FAS) - (06/04)

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Control Number 17-CC-20201218132054

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SINSHEIMER SUN ' N FUN PROGRAM	FACILITY NUMBER: 401712125
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/01/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/08/2021 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	101223(a)(1) Personal Rights. (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by the following:	1 2 3 4 5 6 7	Administrator will submit a written plan of correction to the Department by 3/8/21, outlining how such violation will not be repeated.
	8 9 10 11 12 13 14	Based on LPA’s interviews/observations/record reviews center staff used inappropriate language while with children in care. This poses a potential risk to health, safety or personnel rights of persons in care.	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: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021

LIC9099 (FAS) - (06/04)

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