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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300606172
Report Date: 10/06/2023
Date Signed: 10/06/2023 11:52:47 AM

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
08/03/2023 and conducted by Evaluator Romelia M Castanon
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230803121530
FACILITY NAME:REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER:
300606172
ADMINISTRATOR:WEISS, MELINDAFACILITY TYPE:
850
ADDRESS:16351 SPRINGDALE STTELEPHONE:
(714) 840-7117
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92649
CAPACITY:60CENSUS: 8DATE:
10/06/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Director Mindy WeissTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Daycare child sustained injury while in care
INVESTIGATION FINDINGS:
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On 10/06/2023, Licensing Program Analyst (LPA) Romy Castanon made an unannounced visit to the facility to deliver findings of a complaint that was received at the Orange County Regional Child Care Program Office. LPA met with Director Mindy Weiss and explained the reason for today’s visit. A tour of the small play yard was conducted and census was taken. Observed at the time of the visit was a total of 8 children and 2 staff members.
A review of the Facility Personnel Report Summary on 10/06/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 08/03/2023, the Regional Office received a complaint report alleging daycare child sustained injury while in care. Complaint stated that Child #1 (C1) tripped over a sandbox’s retaining wall while trying to climb out. C1 fell onto the asphalt sustaining a bump on the right side of their forehead, bruising and a scrape on their right cheekbone. Complaint states C1 was taken to the Emergency Room. (Continue to Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
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 4
Control Number 06-CC-20230803121530
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: REDEEMER LUTHERAN PRESCHOOL
FACILITY NUMBER: 300606172
VISIT DATE: 10/06/2023
NARRATIVE
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Page 2

On 08/04/2023 LPA interviewed Reporting Party (RP) who stated staff made light of the situation and stated the child was fine and did not need to be picked up. RP sent LPA Emergency Room discharge diagnosis forms and a photo of C1’s injuries.

During LPA’s initial visit on 08/04/2023, LPA interviewed Acting Director Kristen Schouw and Preschool Board Chair Jan Flores who joined later during LPA’s visit. Kristen stated she and Staff #2 (S2) were both in view of the children and observed C1 fall. Kristen states C1’s foot did not make it over the sandbox wall and only saw 1–2-inch cat scratch on their right cheekbone. Kristen noticed a bump begin to form and applied ice. Kristen retrieved the Ouch Report book and called C1’s parents. Kristen explained that C1 did not cry, there was no blood and their injury protocol was followed. Kristen, Preschool Board Chair Jan Flores and Director Mindy Weiss, all agreed an Unusual Incident Report did not have to be filed with the Licensing Office and only documented the incident to file internally.

On 08/04/2023, during LPA’s interviews with 3 staff members, all 3 staff were able to convey their protocol for child injuries. 3 out of 3 staff stated children are checked for any visible signs of injury and apply first aid. 3 out of 3 staff members stated parents are called immediately following a head injury.

On 08/22/2023, LPA conducted a subsequent visit and interviewed 7 children. All 7 children stated their teachers supervise them. 3 out of 7 children stated their teachers provide bandages. 3 children also mentioned their teachers “take care of me”, “tell me it’s going to be okay” and “make me feel better”.

LPA attempted to interview 4 parents, but 2 parents were unavailable and did not return LPA’s call. 2 out of 2 parents provided positive feedback regarding the facility staff. Parents did not disclose any pertinent information related to the complaint allegation.

Based on LPA’s interviews with Acting Director Kristen Schouw, 3 staff and 7 children, the preponderance of evidence standard has been met, therefore the above allegation child sustained injury while in care is substantiated. California Code of Regulations, Title 22, Division 12, 101223(a)(2) Personal Rights is being cited on the attached LIC9099D.

(Continue to page 3)

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20230803121530
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: REDEEMER LUTHERAN PRESCHOOL
FACILITY NUMBER: 300606172
VISIT DATE: 10/06/2023
NARRATIVE
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Exit interview was conducted with Director Mindy Weiss. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Director was provided a copy of their appeal rights (LIC 9058) 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.

Upon receipt, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file.

End of Report

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20230803121530
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: REDEEMER LUTHERAN PRESCHOOL
FACILITY NUMBER: 300606172
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/09/2023
Section Cited
CCR
101223(a)(2)
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101223(a)(2) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by
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Director states the facility sandbox will no longer be avilable for use by children under 3 years old. Director will implement the change effective immediately and update facility staff. Director will submit copy of notification and sandbox safety procedures with signed attendance sheet by POC date.
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Based on LPA's observation and interviews with staff, the facility sandbox entrance and exit procedures were unsafe and resulted in a child's head injury. This is an immediate risk to the health, saftey or personal rights 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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
LIC9099 (FAS) - (06/04)
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