304370606-9-12-2022-06-CC-THOO-CJEPFU-20220919111715

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370606
Report Date: 09/12/2022
Date Signed: 09/12/2022 12:31:39 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
07/27/2022 and conducted by Evaluator Tina Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20220727134929

FACILITY NAME:	INDEPENDENCE CHRISTIAN PRESCHOOL		FACILITY NUMBER:	304370606
ADMINISTRATOR:	GASIMYAN, ADRINE		FACILITY TYPE:	850
ADDRESS:	4905 E LA PALMA AVENUE		TELEPHONE:	(714) 322-9246
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92807
CAPACITY:	78	CENSUS: 41	DATE:	09/12/2022
		UNANNOUNCED	TIME BEGAN:	12:01 PM
MET WITH:	Adrine Gasimyan, Director		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not prevent the spread of a communicable disease
Staff are not doing daily inspections for illness
Facility water fountain is dirty

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Tina Nguyen conducted an unannounced complaint visit to deliver the complaint findings. LPA met with director, Adrine Gasimyan. Census was taken in individual classrooms. The overall census observed was 5 preschool staff and 37 preschool children; 1 toddler teacher and 4 toddler children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 07/27/2022 a complaint was filed with the Licensing office stating Staff did not prevent the spread of a communicable disease; Staff are not doing daily inspections for illness; Facility water fountain is dirty. Complainants stated the following: the staff are allowing people to bring in their children when they are sick. There has been an outbreak of lice 2-3 times since last year and the facility did not have any plan to prevent that the head lice from happening again. There was puddles of water just sitting on the dirty water fountain.
Continue on page 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

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-20220727134929

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: INDEPENDENCE CHRISTIAN PRESCHOOL	FACILITY NUMBER: 304370606
	VISIT DATE: 09/12/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

On 08/01/2022, 08/10/2022, LPA Nguyen interviewed 5 staff members and no disclosures were made by any staff members regarding the above allegations. All interviewed staff members denied of witnessing the water fountain being dirty. Interviewed staff members indicated that the facility staff members check the children’s temperature daily. If the children become sick or look sick, the facility will call parents and complete the reports. To prevent the head lice infestation, the facility sends the infected children home. These children could only come back 24 hours later after the treatment. The staff would check the children to make sure the children do not have any nits or headlice prior to allowing the children to be back in the classrooms. All interviewed staff stated when there is a head lice infestation, the facility will: disinfect the hard surface area, clean the carpet with Lysol, and vacuum it, send the children’ belongs (such as blanket, pillow, sheets) home so the parents can wash it, and notify the parents about the infestation.

During the inspection on 08/01/2022, LPA Nguyen observed the water fountain and the water dispenser at the facility were cleaned. LPA Nguyen did not observe any puddle sitting on the water fountain.
During the investigation, LPA Nguyen interviewed 4 children, no disclosures were made by any children. All interviewed children stated they like their teachers and their teachers check their temperature daily. The interviewed children also stated they have not observing the water fountain being dirty. LPA Nguyen contacted five parents by phone and was able to interview three parents. All interviewed parents stated they did not have any concern with facility.
Based on the information gathered from LPAs' interviews, observation, and reviewing records, there is insufficient evidence to corroborate the allegation of Staff did not prevent the spread of a communicable disease, Staff are not doing daily inspections for illness, and Facility water fountain is dirty. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged Staff did not prevent the spread of a communicable disease; Staff are not doing daily inspections for illness; Facility water fountain is dirty did or did not occur, therefore the allegations are UNSUBSTANTIATED.
Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided. First level appeal is to Regional Manager, address is above on the report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2