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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300600916
Report Date: 01/06/2025
Date Signed: 01/06/2025 12:25:45 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/08/2024 and conducted by Evaluator Karen Navar
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20241008134811
FACILITY NAME:ST. PAUL'S EPISCOPAL CHURCH PRE-SCHOOLFACILITY NUMBER:
300600916
ADMINISTRATOR:FORBES, GAILFACILITY TYPE:
850
ADDRESS:1221 WASS STREETTELEPHONE:
(714) 832-8201
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:79CENSUS: 16DATE:
01/06/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director-Gail ForbesTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Children are not given an opportunity to nap or rest while at the facility.
INVESTIGATION FINDINGS:
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On 01/06/2025 at 9:00 AM, Licensing Program Analyst (LPA), Karen Navar conducted an unannounced complaint inspection for the purpose of delivering findings. This is a continuation of a complaint inspection initiated on 10/08/2024.

Upon arrival LPA met with Director Gail Forbes and was led on a tour of the facility both inside and outside. At 9:15AM, LPA observed a total of 16 preschool children along with 3 staff during playground time.

A review of the Facility Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.

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Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
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 06-CC-20241008134811
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ST. PAUL'S EPISCOPAL CHURCH PRE-SCHOOL
FACILITY NUMBER: 300600916
VISIT DATE: 01/06/2025
NARRATIVE
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On 10/08/2024, the Orange County Child Care Office received a complaint alleging: 1) Children are not given an opportunity to nap or rest while at the facility. Reporting Party (RP) stated that Children are staying at school more than the number hours they should be there without a nap or rest period.

During the investigation, LPA toured the facility, conducted interviews, obtained ST. Paul Epsicopal Preschool School Directory, ST. Paul’s Preschool Staff Roster, Brightwheel Check in Check Out Sheets, Early Brid, and Late Bird Sign in and Out Sheets, Kids Adventure and Sonshine Club Sign in and Out Sheets, Admission and Registration Forms, Parent Handbook, Monthly Schedule of Activities, and Extended Day Teacher Schedule.

On 10/15/2024, LPA arrived at facility at 1:15PM and was led on a tour with Staff #4 (S4). During the tour, LPA observed children playing on the playground and participating in classroom activities. LPA interviewed four (4) staff (S1-S4) that stated children do not nap and that there are different programs for parent/guardians to choose from who need additional care. All four (4) staff stated that programs offered to parent/guardians run as a morning session from 9AM-11:30AM with the option to sign up for Kids Adventure Club that starts after morning session at 11:30AM-2:00PM and then there is Sonshine Club that begins at 10:00AM-12:15PM, with regular session starting at 12:15PM-2:45PM. In addition to these programs offered, all four (4) staff stated that there is also an Early Bird option where children can be dropped off at 8:30AM and a Late Brid option where children can be picked up by 3:15PM. LPA reviewed St Pauls Epsicopal Admissions/Registration packet detailing St Paul’s Brightwheel Sign in and Out sheets showing that some children were in attendance between 5-6 hours.

During parent interviews. LPA called eight 8 parents and LPA was able to interview 1 parent. The 1 interviewed parent did not divulge any information pertaining to the allegation.

Based on LPA observations, interviews, and records review, the preponderance of evidence has been met; therefore, the allegation of Children are not given an opportunity to nap or rest while at the facility, is Substantiated. Type B violation is being cited in the section of California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101230(b), Activities. See LIC9099D for deficiency cited.

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SUPERVISOR'S NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20241008134811
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ST. PAUL'S EPISCOPAL CHURCH PRE-SCHOOL
FACILITY NUMBER: 300600916
VISIT DATE: 01/06/2025
NARRATIVE
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Page 3.
Exit interview conducted and report was reviewed with Director Gail Forbes. The Director was informed that the “Notice of Site Visit” must be posted on or adjacent to the door for 30 days. Failure to post will result in a Civil Penalty of a $100.00.

End of Report.
SUPERVISOR'S NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20241008134811
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ST. PAUL'S EPISCOPAL CHURCH PRE-SCHOOL
FACILITY NUMBER: 300600916
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/17/2025
Section Cited
CCR
1012309(b)
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101230 Activities (b) All children shall be given the opportunity to nap or rest without distraction or disturbance from other activities at the center.

This requirement was not met as evidence by:
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Director will email LPA a copy of a plan of how center will implement nap time for children in care who need it by 1/17/2025.
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Based on records reveiw and interviews. 4 (four) staff stated children do not nap at the center,LPA reviewed Brightwheel sign in and out sheets showing some children in attendance between 5-6 hours as this pose a potential risk to the health of the 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.
SUPERVISOR'S NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4