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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566208209
Report Date: 10/21/2021
Date Signed: 10/21/2021 12:34:45 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/10/2021 and conducted by Evaluator Francisco Pedroza
COMPLAINT CONTROL NUMBER: 17-CC-20210810143607
FACILITY NAME:GRACE BRETHREN PRESCHOOL EASTFACILITY NUMBER:
566208209
ADMINISTRATOR:JULIA CHANDLERFACILITY TYPE:
850
ADDRESS:2762 AVENIDA SIMITELEPHONE:
(805) 582-4270
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:136CENSUS: 86DATE:
10/21/2021
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Julia Chandler TIME COMPLETED:
12:48 PM
ALLEGATION(S):
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Personal Rights - Staff are not wearing masks
Personal Rights - Day care children are not wearing masks
INVESTIGATION FINDINGS:
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On October 21, 2021 at 11:12 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted an unannounced inspection to conclude a complaint investigation. LPAs met with facility Director Julia Chandler and advised her the purpose of the inspection. Director provided LPAs a tour of the facility inside and out. There were 86 children in care at the time of the inspection.

Allegation(s) stated staff are not wearing masks and daycare children are not wearing masks. LPAs conducted two unannounced inspections touring the facility inside and out during each inspection. During the course of the investigation, LPA reviewed facility records, conducted staff and parent interviews. Staff and parent interviews did not provided evidence to collaborate with the allegation(s). During the staff interviews, staff denied the allegations and did not provide any evidence. Staff provided LPA with a day-to-day procedure on how they address the mask policy in the facility.

Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021
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 2
Control Number 17-CC-20210810143607
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: GRACE BRETHREN PRESCHOOL EAST
FACILITY NUMBER: 566208209
VISIT DATE: 10/21/2021
NARRATIVE
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Staff advised that they encourage children to wear masks routinely. If children ask for help they provide assistance. Children do not wear masks when they are eating, drinking, playing outside, and sleeping. Director provided LPAs a recent email/memo sent to parents in response advising children are required to wear a mask per California Department of Public Health. Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

NOTICE OF SITE VISIT POSTED.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021
LIC9099 (FAS) - (06/04)
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