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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 561700254
Report Date: 12/30/2022
Date Signed: 12/30/2022 12:42:14 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
11/07/2022 and conducted by Evaluator Susana Martinez
COMPLAINT CONTROL NUMBER: 17-CC-20221107155828
FACILITY NAME:MONTE VISTA PRESBYTERIAN PRE SCHOOLFACILITY NUMBER:
561700254
ADMINISTRATOR:JENNIFER REESEFACILITY TYPE:
850
ADDRESS:3797 WEST LYNN RD.TELEPHONE:
(805) 499-6610
CITY:NEWBURY PARKSTATE: CAZIP CODE:
91320
CAPACITY:54CENSUS: 0DATE:
12/30/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Melissa ClarkTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Day-care child was left unattended.
INVESTIGATION FINDINGS:
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On December 30, 2022 at 11:15 AM, Licensing Program Analyst (LPA) Susana Martinez conducted an unnannounced inspection to deliver the findings of the above allegation. LPA met with site director Melissa Clark and advised her of the purpose for the inspection. Together with the director, LPA toured the facility inside and outside. At the time of the inspection there were zero (0) children present.

On 11/14/22 LPA initiated the investigation for the above-mentioned allegation. During the inspection LPA conducted four (4) staff interviews which included the director. Two (2) staff members, Staff 1 (S1) and Staff 3 (S3), admitted to knowing that a child was left unsupervised in October. S3 admitted a child (C1) walked out of the 4-year-old class and followed her into the diaper changing room (Room 1). S3 stated, “The child was supposed to go outside, but followed me as I was going into the diaper changing room to change a different child.” S3 stated she directed C1 to go outside, but child did not listen. C1 walked into an empty room (Room 2) where no adult was present. LPA asked S3 if she called out for another teachers help in assisting with C1, S3 stated she did not call out for another teacher.
Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2022
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
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
11/07/2022 and conducted by Evaluator Susana Martinez
COMPLAINT CONTROL NUMBER: 17-CC-20221107155828

FACILITY NAME:MONTE VISTA PRESBYTERIAN PRE SCHOOLFACILITY NUMBER:
561700254
ADMINISTRATOR:JENNIFER REESEFACILITY TYPE:
850
ADDRESS:3797 WEST LYNN RD.TELEPHONE:
(805) 499-6610
CITY:NEWBURY PARKSTATE: CAZIP CODE:
91320
CAPACITY:54CENSUS: 0DATE:
12/30/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Melissa ClarkTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Day-care child was left in a soiled diaper for a long period of time.
INVESTIGATION FINDINGS:
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On December 30, 2022 at 11:15 AM, Licensing Program Analyst (LPA) Susana Martinez conducted an unnanounced inspection to deliver the findings of the above allegation. LPA met with director Melissa Clark and advised her of the purpose for the inspection. Together with the director, LPA toured the facility inside and outside. At the time of the inspection there were zero (0) children present.
On 11/14/22 LPA initiated the investigation for the above-mentioned allegation. Investigation included interviews with staff and parents. LPA conducted four (4) staff interviews which included the director. All staff members stated children are taken to use the restroom all together before each transition and if a child needs to go at another time an aide is called to assist. Director provided LPA with documentation of the diaper chaning log showing consistencay in checking for soild diapers. Parents were also interviewed, and it was determined by LPA that no other parent had a similar complaint and were happy with the quality of care.
Based on LPA’s observations, interviews which were conducted, documents gathered and record reviews, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 17-CC-20221107155828
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: MONTE VISTA PRESBYTERIAN PRE SCHOOL
FACILITY NUMBER: 561700254
VISIT DATE: 12/30/2022
NARRATIVE
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During staff interviews it was mentioned that children who do not nap are re-directed to do a different activity like outdoors play. S1 usually picks up the children who do not nap and takes them to the outdoor activity area. S1 stated that on the date of the incident when C1's parent arrived at the center for pick up, S1 directed the parent to the indoors napping area where C1 was believed to be at. Parent of C1 did not find the child and was told C1 was outdoors. Parent of C1 went outside again, then walked inside the facility looking through each room until C1 was found alone inside room #2.

It was determined by LPA that the C1 was left unsupervised and unattended for more than 5 minutes.

Based on LPA's observation, interviews conducted the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED.



A copy of this report must be provided to the authorized representatives of all currently enrolled children and must also be provided to newly enrolled children for the next 12 months. The report shall be provided no later than the next business day or the next day the child is in care.

The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC 9224) shall be signed and kept in each of the children’s records. Web site address to obtain forms, review quarterly updates, review Title 22 & Health & Safety Codes is: https://www.cdss.ca.gov/inforesources/child-care-licensing

Copies of this report must be posted for 30 days in a visible location for the authorized representatives of children. Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted with Director Melissa Clark. A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights.
Training video - https://ccld.childcarevideos.org/
The following deficiencies are being cited in accordance to Title 22 of the California Code of Regulations and/or Health & Safety codes. Please refer to LIC9099D for documentation of deficiencies cited: Lack of Supervision 101229(a)(1) Responsibility for Providing Care and Supervision
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 17-CC-20221107155828
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: MONTE VISTA PRESBYTERIAN PRE SCHOOL
FACILITY NUMBER: 561700254
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/30/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/30/2022
Section Cited
CCR
101229(a)(1)
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(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.

This requirement is not met as evidenced by:
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Facility licensee will submit a written plan of correction (POC) by 1/13/22 stating measures to be taken in order to follow Title 22 Regulations and avoid another incident like this happening in the future. Licensee provided training video resource https://ccld.childcarevideos.org/for
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Based on staff interview, C1 was left unattended inside classroom #2. for approximately for 5 minutes and was found alone, which poses an immediate health, safety or personal rights risk to persons in care.
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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: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4