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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300603522
Report Date: 05/17/2023
Date Signed: 05/17/2023 05:11:15 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
04/17/2023 and conducted by Evaluator Pat Rivas
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230417084927
FACILITY NAME:GRACE HARBOR CHURCH AND SCHOOLFACILITY NUMBER:
300603522
ADMINISTRATOR:REBEKAH BAYFACILITY TYPE:
850
ADDRESS:12881 NEWPORT AVENUETELEPHONE:
(714) 544-4431
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:78CENSUS: 13DATE:
05/17/2023
UNANNOUNCEDTIME BEGAN:
07:40 AM
MET WITH:Rebekah Bay, DirectorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff are not following proper reporting requirements
Staff let children be in soiled clothing
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 allegations.

Upon entrance LPA met with Director Rebekah Bay and Daniele Dizdul, Off. Adm and advised of reason for visit and conducted a tour of the facility. Census was taken 13 children 3 teachers were observed,

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 04/17/23 the Regional Office Received a complaint alleging that1) staff are not following proper reporting requirements 2) staff let children be in soiled clothing.
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)
Page: 1 of 2
Control Number 06-CC-20230417084927
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, teachers are now under reporting incidents such as diaper rash, accident report, letting children be in their soiled clothes. The investigation consisted of interviews with 5 parents, 6 staff and 2 former staff. The following was found: Interview with parents did not divulge any information regarding the allegations. LPA interviewed six current staff and 2 former staff. All staff indicated they report all incidents to director. They are now having to over report, per 3 out of six current staff. All staff indicated they do not leave children in soiled clothing. Former staff indicated they did not leave children in soiled clothing. LPA was unable to corroborate the allegations of 1)staff are not following proper reporting requirements and 2) staff let children be in soiled clothing.
Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are 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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