406214085-11-4-2020-17-CC-MMUR-BV32FD-20201104162122

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 406214085
Report Date: 11/04/2020
Date Signed: 11/04/2020 04:09:57 PM

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
08/05/2020 and conducted by Evaluator Melissa K Stewart

COMPLAINT CONTROL NUMBER: 17-CC-20200805120500

FACILITY NAME:	SHEPHERD'S CHRISTIAN PRESCHOOL		FACILITY NUMBER:	406214085
ADMINISTRATOR:	TERESA A. SHEPHERD		FACILITY TYPE:	850
ADDRESS:	4410 PORTOLA ROAD		TELEPHONE:	(805) 305-1422
CITY:	ATASCADERO	STATE: CA	ZIP CODE:	93422
CAPACITY:	20	CENSUS: 10	DATE:	11/04/2020
		UNANNOUNCED	TIME BEGAN:	03:29 PM
MET WITH:	Teresa Shepherd		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Facility operating out of ratio
Staff left daycare children unattended

INVESTIGATION FINDINGS:

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On November 4, 2020 at 3:29 PM Licensing Program Analyst (LPA) Melissa Stewart conducted an unannounced inspection to conclude a complaint investigation. LPA advised Licensee that due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing, the inspection was being conducted via Face Time video call. The purpose of the inspection was explained. LPA observed that S1 and Licensee were supervising 10 children.

It was alleged that S1 left children unattended in order to use the bathroom due to no additional staff being present and that S1 was caring for more than 12 children without another adult present. S1 was interviewed by phone on 8/31/2020 and denied both allegations.

Seven (7) parents of children who are currently attending and one (1) parent of a child no longer attending were interviewed by phone. None of the parents corroborated the allegations and all eight (8) parents indicated that they were satisfied with the care and supervision their children receive at the center.
continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2020

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-20200805120500

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: SHEPHERD'S CHRISTIAN PRESCHOOL	FACILITY NUMBER: 406214085
	VISIT DATE: 11/04/2020

NARRATIVE

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During today's video call, Licensee indicated that either S2 or Licensee was present to provide breaks and S1 was never left alone when there were more than 10 children present.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

No violations were cited during today's inspection.

Exit interview was conducted with Licensee, during which Appeal Rights were explained. This report along with a copy of the Appeal Rights (LIC 9058 FAS 01/16) and Notice of Site Visit (LIC9213) will be sent to Licensee, Teresa Shepherd, via email today. In lieu of signature, LPA requested that Licensee reply to the email within 24 hours to confirm receipt of the documents.

The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2020

LIC9099 (FAS) - (06/04)

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