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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274413132
Report Date: 01/17/2024
Date Signed: 01/17/2024 04:23:02 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
11/29/2023 and conducted by Evaluator Elizabeth Larios
COMPLAINT CONTROL NUMBER: 07-CC-20231129103226
FACILITY NAME:NORTHMINSTER PRESBYTERIAN INFANT CAREFACILITY NUMBER:
274413132
ADMINISTRATOR:ANDY RAUSCHFACILITY TYPE:
830
ADDRESS:315 EAST ALVIN AVENUETELEPHONE:
(831) 449-2717
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:12CENSUS: 9DATE:
01/17/2024
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Jerrianna Bigham & Andy RauschTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff did not address a gas odor in the facility
The facility failed to address flea infestation
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Elizabeth Larios conducted an subsequent unannounced complaint investigation to deliver findings. LPA met with Director Jerriana Bigham and explained the purpose of today's visit.

Based on LPA interviews which were conducted, records review, and documents obtained, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED.

Type A deficiency was cited on the attached LIC 9099-D.

Exit interview was conducted, where this report was reviewed and discussed with Jerriana Bigham & Administrator Andy Rausch. A copy of this report was also provided. Appeal rights were given.

====CONTINUE ON LIC 9099-C====
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
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 3
Control Number 07-CC-20231129103226
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 INFANT CARE
FACILITY NUMBER: 274413132
VISIT DATE: 01/17/2024
NARRATIVE
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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.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20231129103226
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 INFANT CARE
FACILITY NUMBER: 274413132
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/18/2024
Section Cited
CCR
101238(a)(1)
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101238 Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.
This requirement is not met as evidenced by:
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Licensee shall submit gas leak invoice service order. Licensee will also submit a plan outlining steps that will be taken by staff if situation (gas smell) would arise again. Licensee will submit a written plan indicating how they will keep the center free of fleas.
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Based on record reviews and interview conducted, on 11/29/2023 a parent had to call 911 after smelling gas. PG & E was called by staff (S-1) and confirmed by PG & E there was a gas leak. On 10/19/2023 Director was informed of a child (C-1) getting flea bites. Flea problem was not taken care of until 11/25/2023. Staff (S-1) realized they had a flea problem & have taken the steps to correct it. Staff (S-1) bug bomb classroom which poses a potential health and safety risk to children in care.
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AB633 Parent Notification is required. According to AB 633, all parents of children currently enrolled and any future children being enrolled for the next 12 months must be provided with this report which contains this type A deficiency.
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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: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3