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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 270700474
Report Date: 11/18/2021
Date Signed: 12/06/2021 05:06:41 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/09/2021 and conducted by Evaluator Elizabeth Larios
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20210909114745
FACILITY NAME:NORTHMINSTER PRESBYTERIAN PRESCHOOL/KINDERPREPFACILITY NUMBER:
270700474
ADMINISTRATOR:HUNTERMICHELS, LAURAFACILITY TYPE:
850
ADDRESS:315 EAST ALVIN DRIVETELEPHONE:
(831) 449-5676
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:72CENSUS: 48DATE:
11/18/2021
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Laura Hunter Michels TIME COMPLETED:
06:45 PM
ALLEGATION(S):
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Daycare children were left unattended
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Elizabeth Larios conducted an unannounced complaint investigation to deliver investigation findings. LPA met with Director, Laura Hunter Michels and explained the purpose of the inspection.

Based on observation, record reviews and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED.

Type A deficiency was cited. Exit interview was conducted, where this report was reviewed and discussed with Laura Hunter Michels, Director.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
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 07-CC-20210909114745
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: NORTHMINSTER PRESBYTERIAN PRESCHOOL/KINDERPREP
FACILITY NUMBER: 270700474
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/18/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/19/2021
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1).Supervision shall include visual observation.
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Director agreed to submit a written Plan of Correction (POC) to LPA indicating what steps will be implemented to ensure that the day care & preschool children are supervised at all times and conducted staff training, by POC date 11/19/21. Civil Penalties assessed at today's visit in the amount of $500.00
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This requirement was not met as evidenced by: Based on observation, interviews and record reviews, On 9/8/2021 child (C-1) was not observed in play ground and was found by a day care parent and staff in the side walk of Mckinnon St. This poses an immediate threat to the health and safety of children in care.
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According to AB 633, parents must be provided with this report which contains this Type A deficiency for the next 12 months and copy of signed acknowledgement form must be kept in each child's file.
Type B
11/24/2021
Section Cited
CCR
101212(d)(1)(C)
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101212 Reporting Requirements
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
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LPA referred Licensee to Title 22 section 101212 (d) Reporting Requirements. Director to read section and submit a written statement stating she read and understands the regulation, by POC date 11/24/2021.
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This requirement was not met as evidenced by: The center failed to report an unsual incident report for child (C-1) as required. This poses a potential risk to the health and safety of children in care.
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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: Anthony Studebaker
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
LIC9099 (FAS) - (06/04)
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