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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406216086
Report Date: 03/28/2022
Date Signed: 03/28/2022 02:22:52 PM

Substantiated


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
02/02/2022 and conducted by Evaluator Francisco Pedroza
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20220202120017
FACILITY NAME:PERSONS FCC AKA ALPHABET ACADEMY CHILDCAREFACILITY NUMBER:
406216086
ADMINISTRATOR:KATRINA LI PERSONSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 400-1472
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:14CENSUS: 4DATE:
03/28/2022
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Katrina PersonsTIME COMPLETED:
02:37 PM
ALLEGATION(S):
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Reporting Requirements - Reporting Requirements
INVESTIGATION FINDINGS:
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On March 28, 2022 at 1:28 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced inspection to conclude a Complaint investigation. LPA met with licensee's Katrina and Jack Persons and advised them the purpose of the inspection. Licensee's provided LPA a tour of the facility. There were four (4) children in care at the time of the inspection.

Allegation(s) stated that the licensee failed to report to CCL and Public Health a Positive Covid-19 case. LPA conducted two unannounced inspections touring the facility inside and out during each inspection. During the course of the investigation, LPA conducted an interview with licensee and parents. Licensee advised that a parent was diagnoised positive. The child was quarantined at home and the facility closed temporary to ensure they did not spread the Covid-19 virus to the children and staff of the facility. Licensee was not aware that they had to report the exposure to Community Care Licensing (CCL) and Public Health.

Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2022
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 4
Control Number 17-CC-20220202120017
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: PERSONS FCC AKA ALPHABET ACADEMY CHILDCARE
FACILITY NUMBER: 406216086
VISIT DATE: 03/28/2022
NARRATIVE
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Licensee advised that they closed the facility for the minimum quarantine time frame as required. The facility did not have new positive cases or exposures. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. A Technical Violation was cited today.

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4