191201899-9-21-2022-12-CC-MRAN-CKMLPF-20221028085551

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191201899
Report Date: 09/19/2022
Date Signed: 09/21/2022 08:32:59 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/18/2022 and conducted by Evaluator Esequiel Rodriguez

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20220818145504

FACILITY NAME:	LANCASTER UNITED METHODIST CHURCH PRE SCHOOL		FACILITY NUMBER:	191201899
ADMINISTRATOR:	DAMON, TAMMY		FACILITY TYPE:	850
ADDRESS:	918 WEST AVENUE J		TELEPHONE:	(661) 942-0812
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	58	CENSUS: 38	DATE:	09/19/2022
		UNANNOUNCED	TIME BEGAN:	03:07 PM
MET WITH:	Tammy Damon		TIME COMPLETED:	03:49 PM

ALLEGATION(S):

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Staff did not follow protocals to prevent an outbreak of hand, foot and mouth illness

INVESTIGATION FINDINGS:

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On 09/19/20/2022 at 3:07 p.m. Licensing Program Analyst (LPA) Esequiel Rodriguez conducted an unannounced inspection to the Facility to continue with the investigation into the above complaint allegation and deliver findings. The LPA met with Facility Director, Tammy Damon and stated the purpose for the inspection.

In the course of the investigation, LPA Rodriguez conducted confidential interviews with the Facility Director, Assistant Director, Staff members/teachers, potential and/or relevant witnesses. Also, a review of facility file and other applicable documentation was conducted. The Facility Director and Assistant denied the allegations indicating that they do follow guidance from the Health Department when there is evidence of any health outbreak, and in this case hand, foot and mouth illness (HFMD.) The LPA observed a County of Los Angeles, information pamphlet regarding HFMD on display for anyone at the faclity to see.

Staff interviewed indicated that they did follow recommendations of the Health Department when they first noticed that a child may have been infected with HFMD, but have not seen an official protocol or policy from the

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022

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 12-CC-20220818145504

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LANCASTER UNITED METHODIST CHURCH PRE SCHOOL	FACILITY NUMBER: 191201899
	VISIT DATE: 09/19/2022

NARRATIVE

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Facility regarding potential disease outbreak. Relevant and/or potential witness reported not having seeing an official Facility policy regarding illness outbreaks. However, they admitted as having seen the hand, foot and mouth disease information bulletin placed by the entrance of the facility.

Facility records review do not contain a specific or official protocol or policy for Facility Staff to follow in case of a potential communicable disease outbreak. Nonetheless, the Facility does have a good communication plan with the local Health Department and ensures health consultation is available to deal with outbreaks and other related issues.

Based on evidence obtained, LPA observations and interviews conducted, the above allegation is deemed Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations did or did not occur.

An exit interview was conducted, a copy of this report, Appeal Rights, Advisory Note, and notice of site visit were provided to Director, Tammy Damon.

SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022

LIC9099 (FAS) - (06/04)

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