<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197495108
Report Date: 06/29/2023
Date Signed: 06/29/2023 10:54:41 AM

Substantiated


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
02/23/2023 and conducted by Evaluator Laticia S Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230223154524
FACILITY NAME:GOOD SHEPHERD'S FOLD PRESCHOOLFACILITY NUMBER:
197495108
ADMINISTRATOR:ZURBRUGG, PHIL E.FACILITY TYPE:
850
ADDRESS:1350 W. 25TH STREETTELEPHONE:
(310) 833-3340
CITY:SAN PEDROSTATE: CAZIP CODE:
90732
CAPACITY:60CENSUS: 18DATE:
06/29/2023
UNANNOUNCEDTIME BEGAN:
09:24 AM
MET WITH:Yolanda Mojarrro, DirectorTIME COMPLETED:
11:09 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff yells in the presents of children in care.
Staff inappropriately handle children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced visit to the above facility. The purpose of the visit is to deliver the findings for the complaint allegations above based on the investigations conducted by LPA Denise Miranda. LPA Thompson arrived at the facility on 06/29/2023 at 9:24AM and met with Yolanda Mojarro, Director who guided LPA on a tour of the facility. There were 18 children and 4 staff upon arrival.

Information provided by the Reporting Party indicates that staff, in the presence of other children, yell and handle children inappropriately. The reporting party disclosed that the concern is specifically with Staff #4 who yells and grabs children inappropriately.
---Page 1 of 3
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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
Control Number 30-CC-20230223154524
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: GOOD SHEPHERD'S FOLD PRESCHOOL
FACILITY NUMBER: 197495108
VISIT DATE: 06/29/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The Director that was available at the commencement of the investigation denied that staff yells in the presence of children in care. During today’s visit, LPA Thompson was met with a new Director Yolanda Mojarro

When conducting interviews with staff, Staff#1, Staff#2 and Staff#3 disclosed that Staff #4 both yells at and grabs children inappropriately. Staff #1 stated that they addressed their concerns about Staff#4 to the Licensee. Staff #4 admitted that they inappropriately grabbed Child #1 and took Child #1 to an off-limits area behind closed doors. Staff #4 made no disclosure of yelling but stated that they are aware that children run and lay down for nap time when they see Staff #4.

Based on interviews conducted with children, Child #1 disclosed that they do not like that Staff #4 chases Child #1 to grab them and tells Child #1, “go to your bed, go to sleep.” Child #3 disclosed that Staff #4 is “mean” and chases children to say, “do not do this, stop.” When interviewing Child #4, Child #4 demonstrated how Staff #4 raises their voice and changes their tone to say, “stop, don’t do this.”

Adult #1 was interviewed and disclosed that they observed Staff #4 yell at children and was present when Staff #4 grabbed Child #1 and took Child #1 to a hallway behind closed doors.

Parents interviewed made no disclosures regarding the allegations.

Based on LPA Miranda’s interviews which were conducted with Staff and Children, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 Chapter 1 101223(a)(3) Personal Rights), is being cited on the attached deficiencies page.

--Page 2 of 3
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 30-CC-20230223154524
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: GOOD SHEPHERD'S FOLD PRESCHOOL
FACILITY NUMBER: 197495108
VISIT DATE: 06/29/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Yolanda Mojarro, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 30-CC-20230223154524
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: GOOD SHEPHERD'S FOLD PRESCHOOL
FACILITY NUMBER: 197495108
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/29/2023
Section Cited
CCR
101223(a)(3)
1
2
3
4
5
6
7
Personal Rights -To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ...This requirement is not met as evidenced by
1
2
3
4
5
6
7
Per Licensee, Staff #4 was relieved of their duties (due to the incident). Due to the facility relieving Staff #4 from their duties, this poses an a potential health and safety risk to children in care.
8
9
10
11
12
13
14
This requirement is not met as evidenced by LPAs interviews conducted with staff and children, in which disclosures were made that Staff #9 yells and inappropriately handles children in care which poses a potential health, safety, & personal rights risk to children in care
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4