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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 410500593
Report Date: 11/04/2019
Date Signed: 11/04/2019 12:10:45 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/14/2019 and conducted by Evaluator Cindy Interiano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20190814104907
FACILITY NAME:ST. ANDREW'S PRESCHOOLFACILITY NUMBER:
410500593
ADMINISTRATOR:MCLAUGHLIN, JEANNEFACILITY TYPE:
850
ADDRESS:1600 SANTA LUCIA AVETELEPHONE:
(650) 273-4415
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:52CENSUS: 51DATE:
11/04/2019
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Director, Jeanne McLaughlinTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Inappropriate interactions between daycare children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Cindy Interiano conducted a subsequent complaint inspection and met with Director, Jeanne McLaughlin, to discuss the above allegation. Purpose of the inspection was explained. Present is Director and 8 Staff supervising 51 PreK children.
During the course of the investigation, interviews were conducted with Director, Staff, Guardians, and Children. Based on the information obtained, Staff did not properly supervise children resulting in a child having inappropriate interactions with another child. Director states Staff was instructed to properly supervise the children and Staff did not follow instructions. Director states an additional Staff has since been hired. Director states Staff are positioned in areas, indoors and outdoors, where the children can always be supervised and re-position themselves accordingly to areas where the children are playing.
See Page 2. . .
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019
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 3
Control Number 05-CC-20190814104907
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ST. ANDREW'S PRESCHOOL
FACILITY NUMBER: 410500593
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/04/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/12/2019
Section Cited
CCR
101229(a)(1)
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101229 (a)(1) Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Director has since conducted a Staff meeting regarding the importance of maintaining 100% Supervision, 100% of the time. Director states there are always 2 or more staff in the nap room.
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This requirement was not met as evidenced by: Staff not properly supervising children resulting in children interacting inappropriately with other children. This poses a potential health and safety risk to children in care.
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During outdoor play, there are additional staff who are positioned in areas where the children can always be supervised. Another Staff meeting will be conducted on 11/05/19, and Director will be talking about the importance of supervision.
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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: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 05-CC-20190814104907
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: ST. ANDREW'S PRESCHOOL
FACILITY NUMBER: 410500593
VISIT DATE: 11/04/2019
NARRATIVE
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See Page 2. . .

The preponderance of evidence standard has been met, therefore the allegation of a lack of supervision resulting in inappropriate interactions between daycare children is found to be SUBSTANTIATED.

***See attached page for deficiencies cited against the facility under CCR,Title 22, Div. 12, Ch. 1.***

This report will be kept in the Facility File and will be made available for Public Review upon request. Website for Forms and Regulations: www.ccld.ca.gov. This report and rights to comment and appeal have been discussed with Director. Notice of Site Visit was observed being posted.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3