<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370606
Report Date: 07/20/2023
Date Signed: 07/20/2023 12:27:45 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 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
05/18/2023 and conducted by Evaluator Archibaldo Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230518165157
FACILITY NAME:INDEPENDENCE CHRISTIAN PRESCHOOLFACILITY NUMBER:
304370606
ADMINISTRATOR:GASIMYAN, ADRINEFACILITY TYPE:
850
ADDRESS:4905 E LA PALMA AVENUETELEPHONE:
(714) 322-9246
CITY:ANAHEIMSTATE: CAZIP CODE:
92807
CAPACITY:78CENSUS: 13DATE:
07/20/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Yasbel OrtunoTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility out of ratio
Facility staff unqualified.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/20/2023 Licensing Program Analyst (LPA) A. Silva conducted an unannounced complaint investigation inspection. This is a continuation of the investigation initiated on 5/24/2023. Upon arrival, the LPA met with Teacher Yasbel Ortuno and informed Ms. Ortuno of the purpose of the visit. A review of staff criminal records on this date indicated all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance.

Allegation(s): The facility is out of ratio and facility staff are not qualified.




Continue on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
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-20230518165157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: INDEPENDENCE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 304370606
VISIT DATE: 07/20/2023
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
The Department received a complaint on 5/18/2023 alleging 1) the facility is out of ratio and 2) facility staff are not qualified.

Interview with the complainant:
The complainant remained anonymous and did not provide any contact information. No interview was conducted with the complainant.

Interview with staff:
On 5/24/23, eight staff were interviewed during the initial visit. S4, S5, and S8 disclosed that the facility had been out of ratio. S4 disclosed having witnessed a classroom out of teacher-child ratio. S5 stated that there were not enough teachers for each student to have their own classroom every single day. According to S5, a teacher had been out for approximately two weeks which caused a classroom to be divided among the rest of the teachers, which may have contributed to teacher-child ratio deficiency. Other staff, including Director Kim Gauvain, corroborated that a teacher was on leave. S8 stated having witnessed one teacher and one aid with insufficient units supervising over 15 children and potentially up to 21 children. S8 disclosed to have been over the teacher-child ratio while supervising children alone.

Interview with Parents:
On 6/05/23, LPA called five parents. Parents P2, P3, and P4 expressed they were concerned about teacher turnover. P5 disclosed to have witnessed between 6 to 12 children in the morning with one teacher. P5 also stated that the facility does not have as many staff as needed during the past month from the date of the interview. No other relevant information was disclosed by any of the parents.

Record review and LPA Observations:
LPA obtained copies of staff and child sign in/out schedule for the week of May 15 to May 24. Based on the review of records, LPA was able to determine that the facility was out of teacher child ratio on May 15th.
Staff records were obtained and reviewed. A records review indicates that S2 did not have the qualifications required to be a teacher on 5/24/23. On 5/24/2023, LPA observed S2 (who had been identified as an aide by the director and who had self-identified as a floater) caring for eight (8) children alone in a classroom.

Interview with children:
No children were interviewed due to children’s age and limited language development.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20230518165157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: INDEPENDENCE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 304370606
VISIT DATE: 07/20/2023
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
Based on observations, the interviews conducted and records view, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. A substantiated finding means the allegations that the facility was out of teacher child ratio and facility staff were/are not qualified, are substantiated.

The California Code of Regulations Title 22, Division 12, Sections 101216.3 Teacher-Child Ratio and
101216.1 Teacher Qualifications and Duties are cited in the attached LIC9099D.

LPA A. Silva informed Teacher Yasbel Ortuno that this licensing report dated 7/20/2023 documents 2 “Type A” citation(s). Type A citation(s) must be posted for 30 consecutive days during the hours that children are in care as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. LPA A. Silva further informed Teacher Ysabel Ortuno that:
  1. A copy of this licensing report must be provided to parents or guardians of all clients currently enrolled by the next business day or by the next day the children are in care.
  2. A copy of this report must be provided to the parents or guardians of all newly enrolled clients for 12 months from the date of this report.
  3. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) form, or another written equivalent statement, must be placed in the child's file for verification of receipt of the report.

The facility representative was informed that the 'Notice of Site Visit' must be posted on or adjacent to the door. Failure to post for 30 days will result in a civil penalty of $100.00. An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The facility representative was provided a copy of the appeal rights (LIC 9058 12/15) and signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the licensing office within 15 business days.

End.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20230518165157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: INDEPENDENCE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 304370606
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/21/2023
Section Cited
CCR
101216.3
1
2
3
4
5
6
7
101216.3 Teacher-Child Ratio (a) There shall be a ratio of one teacher supervising no more than 12 children... And (b) teacher aides in a teacher-child ratio of one teacher and one aide for 15 children...
The licensee did not comply with the above regulation as evidenced by:
1
2
3
4
5
6
7
Analyze staff schedule, average child count per day, per times of the day, and communicate with staff better to ensure facility is on ratio. Include teacher-child ratio discussions in our bi-weekly meetings. Facility will provide proof of correction by due date.
8
9
10
11
12
13
14
Based on interviews and records, the licensee did not comply with the above regulation. S4, 5, & 8 witnessed the facility out of ratio. Records show facility out of ratio on 5/15/23, which poses/posed an immediate risk to the health, safety, and personal rights of clients in care.
8
9
10
11
12
13
14
Type A
07/21/2023
Section Cited
CCR
101216.1
1
2
3
4
5
6
7
101216.1 Teacher Qualifications and Duties (b) a teacher shall meet the requirements of (b)(1) or (b)(2) below: (1) A teacher shall have at least six units of...
The licensee did not comply with the above regulation as evidenced by:
1
2
3
4
5
6
7
The facility will request an exemption and provide proof of enrollment and completed units for S2. The request will be sent in writing to the RO by the due date.
8
9
10
11
12
13
14
Based on observations and records review, the licensee did not comply with the above regulation in one out of one staff, which poses/posed an immediate risk to the health, safety, and personal rights of clients in care. LPA observed S2 supervising 8 children alone on 5/24/23.
8
9
10
11
12
13
14
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: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4