561702359-2-10-2023-17-CC-ATOO-CP43D6-20230215170902

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 561702359
Report Date: 02/10/2023
Date Signed: 02/10/2023 12:16:34 PM

Unsubstantiated

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
11/17/2022 and conducted by Evaluator Laura Villanueva

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20221117143526

FACILITY NAME:	CHRIST THE KING LUTHERAN PRESCHOOL		FACILITY NUMBER:	561702359
ADMINISTRATOR:	SARAH BRITTON		FACILITY TYPE:	850
ADDRESS:	3947 WEST KIMBER DRIVE		TELEPHONE:	(805) 499-7022
CITY:	NEWBURY PARK	STATE: CA	ZIP CODE:	91320
CAPACITY:	56	CENSUS: 40	DATE:	02/10/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Sarah Britton		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff are operating out of ratio
Staff do not ensure that food is stored in a safe and healthful manner
Licensee does not ensure that personnel records are complete
Licensee does not ensure that children's records are complete
Staff are not keeping changing area of classroom clean

INVESTIGATION FINDINGS:

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On February 10, 2023 at 10:00 AM Licensing Program Analyst (LPA) Laura Villanueva conducted an unannounced inspection to conclude the investigation for the allegations above. LPA met with Sarah Britton and explained the purpose for the inspection. LPA asked pre-screening questions related to COVID-19. Responses suggest no COVID exposure on site. LPA conducted a tour of the facility inside and outside Assistant Director, Tera Cardena. LPA observed 40 children and 10 staff present at the time of the inspection.

LPA conducted staff interviews, reviewed child files, and reviewed staff files. LPA found all files were fully complete with all required documents. Parents interviewed are happy with the care and supervision their child receives. LPA reviewed diapering procedures with staff. A poster with the procedures is posted next to the changing table. LPA observed staff to be with in ratio of children. The average ratio is 1 teacher to 8 children. LPA observed food storqge to be within title 22 regulations.
(Continued on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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-20221117143526

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: CHRIST THE KING LUTHERAN PRESCHOOL	FACILITY NUMBER: 561702359
	VISIT DATE: 02/10/2023

NARRATIVE

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Although the allegation 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 allegation is UNSUBSTANTIATED.

No deficiencies cited for today.

Exit interview conducted and report was reviewed with the Director, Sarah Britton and a copy was left.

The Notice of SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

LIC9099 (FAS) - (06/04)

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