300603522-5-17-2023-06-CC-THOO-CSYKDC-20230620074830

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300603522
Report Date: 05/17/2023
Date Signed: 05/17/2023 05:09:35 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/19/2023 and conducted by Evaluator Pat Rivas

COMPLAINT CONTROL NUMBER: 06-CC-20230419170009

FACILITY NAME:	GRACE HARBOR CHURCH AND SCHOOL		FACILITY NUMBER:	300603522
ADMINISTRATOR:	REBEKAH BAY		FACILITY TYPE:	850
ADDRESS:	12881 NEWPORT AVENUE		TELEPHONE:	(714) 544-4431
CITY:	TUSTIN	STATE: CA	ZIP CODE:	92780
CAPACITY:	78	CENSUS: 49	DATE:	05/17/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Rebekah Bay, Director		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Lack of supervision resulting in inappropriate touching between children

INVESTIGATION FINDINGS:

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Licensing Program Analysts, (LPAs) P Rivas and A Chan conducted an unannounced complaint visit to continue investigation and render findings for the above allegation.

LPA smet with Director Rebekah Bay and advised of reason for visit and conducted a tour of the facility. Census was taken 49 children 6 teachers.

A review of the Facility Personnel Report Summary on 05/17/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 04/19/23 the Regional Office Received a complaint alleging that there was lack of supervision resulting in inappropriate touching between children.
Cont. page 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

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 06-CC-20230419170009

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GRACE HARBOR CHURCH AND SCHOOL	FACILITY NUMBER: 300603522
	VISIT DATE: 05/17/2023

NARRATIVE

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Specifically, that a child had been saying that a friend "touches and tickles his butt." The investigation consisted of interviews with 5 parents, 6 out of 6 children were qualified knowing difference between truth and a lie. LPA interviewed three staff who directly provide care and supervision for the children in the room that the incident allegedly occurred. The following was found: Interview with parents did not divulge any information regarding the allegation. LPA interviewed 6 qualified children and none of the children interviewed stated that a friend has tickled their butt or that they have tickled a friend's LPA interviewed three staff for the age group specified, all three staff had never observed any child tickle another child's butt. LPA was unable to corroborate the allegation that lack of supervision resulted in inappropriate touching between children.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with Director Bay. Appeal Rights were explained. The Director was provided a copy of appeal rights (LIC 9058) 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the Regional Manager to the address listed. The Notice of Site Visit was given and discussed it must be posted as required by H & S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00.

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

LIC9099 (FAS) - (06/04)

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