490100475-3-4-2021-01-CC-AHON-BYU22L-20210305160053

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 490100475
Report Date: 03/03/2021
Date Signed: 03/04/2021 04:03:15 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/18/2020 and conducted by Evaluator Yang Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20201118130721

FACILITY NAME:	CROSS & CROWN LUTHERAN PRESCHOOL		FACILITY NUMBER:	490100475
ADMINISTRATOR:	MC CARTHY, MANDY		FACILITY TYPE:	850
ADDRESS:	5474 SNYDER LANE		TELEPHONE:	(707) 795-7863
CITY:	ROHNERT PARK	STATE: CA	ZIP CODE:	94928
CAPACITY:	70	CENSUS: 2	DATE:	03/03/2021
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Mandy Mc Carthy		TIME COMPLETED:	03:57 PM

ALLEGATION(S):

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Facility is operating beyond the terms of licensure

INVESTIGATION FINDINGS:

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A follow-up complaint investigation tele-visit was made today by Licensing Program Analyst (LPA), Y. Yang to deliver complaint investigation findings. Due to the Corona Virus pandemic, a tele-visit was conducted in place of an in-person, site visit. Previously, an investigation tele-visit was conducted by the LPA with the center director of Cross and Crown Preschool, Mandy McCarthy (staff S1) on 11/20/20. It was alleged that the facility is operating beyond the terms of its license. Specifically, it was alleged that the facility was providing care for school age children without a license or a COVID-19 emergency waiver.

The LPA met with director McCarthy today at 03:00pm via tele-visit to discuss the complaint findings. A follow-up video tour of the facility was conducted at 03:12pm. There were two preschool children present at the facility. The LPA did not observe any school-age children present. During the initial complaint investigation tele-visit with the center director (S1) on 11/20/20, the LPA interviewed the director at 01:15pm. The center director denied the allegation and stated that the facility has not operated beyond the terms of its license by providing childcare services to school-age children.
Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang Yang	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2021

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 01-CC-20201118130721

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: CROSS & CROWN LUTHERAN PRESCHOOL	FACILITY NUMBER: 490100475
	VISIT DATE: 03/03/2021

NARRATIVE

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The director stated that childcare services provided by the center are for preschool-age children only. The director stated that the facility shares the property with Cross and Crown Lutheran School, a TK-6 grade, private elementary school. The director stated that the elementary school is its separate entity and does not share any classrooms, teachers, or play areas with the preschool. The director stated that the elementary school has its own entrance and hallways. The director stated that children from the preschool are not commingled with children that are attending in the elementary school. LPA requested a video tour of the facility on 11/20/20 at 02:15pm. There were two preschool age children present; no school-age children were observed.

The LPA interviewed Jean Bashi (S2), the administrator of Cross and Crown Lutheran School, on 11/24/20 via telephone at 09:30am. The administrator corroborated the statements of the center director. The administrator stated that the elementary school operates independently from the preschool. The administrator stated that the school-age children are always supervised by elementary school staff and never supervised by preschool staff. The administrator stated that the preschool children are not commingled with school-age children.

During the complaint investigation, interviews were conducted with clients and facility staff (S3-S6). Clients interviewed all stated that they have never observed the center operating outside the terms of its license and provide childcare for school age children. The facility staff that were interviewed all stated that they have never observed any care and supervision provided for school age children at the center. The staff interviewed all corroborated the center director’s statements.

Based on available information and interviews conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. All licensing reports are public information and must be made available upon request for at least three years. This report was read and reviewed with the facility director. There were no Title 22 deficiencies cited during today's tele-vist. Appeal rights were provided.

This report will be emailed to the center director.

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang Yang	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2021

LIC9099 (FAS) - (06/04)

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