197494660-5-24-2022-30-CC-MNEL-CFARQY-20220611131421

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197494660
Report Date: 05/24/2022
Date Signed: 05/24/2022 11:31:11 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/06/2022 and conducted by Evaluator Miriam Cohen

COMPLAINT CONTROL NUMBER: 30-CC-20220406132506

FACILITY NAME:	SHEPHERD'S FOLD PRESCHOOL		FACILITY NUMBER:	197494660
ADMINISTRATOR:	PAUL TROY INGERSOLL		FACILITY TYPE:	850
ADDRESS:	1350 W 25TH STREET		TELEPHONE:	(310) 227-9314
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90732
CAPACITY:	60	CENSUS: 21	DATE:	05/24/2022
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Mrs. Ingersoll, Owner		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

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Day care child's authorized representative was not provided information on how to file a complaint.
Day care child was aggressively grabbed while in care.
Staff spoke inappropriately to a child's authorized representative in front of day care child.
Day care child was discriminated against while in care.

INVESTIGATION FINDINGS:

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On 05/24/2022 @ 10:10 AM, LPA Cohen conducted an unannounced visit for the purpose of delivering the findings against alleged complaints reported concerning the above preschool. Upon arrival, LPA Cohen observed four adults providing care for 21 children. LPA Cohen met with the preschool owner, Mrs. Ingersoll.
After conducting interviews with five staff members (written declarations obtained) and verbal interviews with one parent of child currently enrolled and who witnessed the incident, the following conclusion has been reached: 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 occurred.

On 04/12/2022 @ 10:00 AM, Licensing Program Analyst (LPA) Miriam Cohen conducted an unannounced complaint visit for the purpose of notifying the preschool director concerning the above-mentioned allegations and to perform an investigation. Upon arrival, LPA Cohen observed four adults providing care for 16 children. LPA Cohen met with preschool owners, Troy Ingersoll and Linda Ingersoll.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022

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 30-CC-20220406132506

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SHEPHERD'S FOLD PRESCHOOL	FACILITY NUMBER: 197494660
	VISIT DATE: 05/24/2022

NARRATIVE

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At the time of the visit, 04/12/2022, the preschool director is on vacation.
LPA acquired the following documentation:
*Children Roster for 3s and 4s classroom with Emergency ID information
LPA interviewed and obtained written declarative from four staff members including preschool owners; however, further witnesses and documentation will be needed to conclude the investigation.

An exit interview was conducted with the above items discussed with preschool owner, Linda Ingersoll.
A copy of this report was provided.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022

LIC9099 (FAS) - (06/04)

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