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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371056
Report Date: 07/19/2022
Date Signed: 07/19/2022 12:31:39 PM

Substantiated


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
06/22/2022 and conducted by Evaluator Dean Valencia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220622084133
FACILITY NAME:RUBY DRIVE EARLY HEAD STARTFACILITY NUMBER:
304371056
ADMINISTRATOR:ANGELICA TORRESFACILITY TYPE:
830
ADDRESS:601 RUBY DRIVETELEPHONE:
(714) 854-8787
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY:16CENSUS: 10DATE:
07/19/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Sandra FloresTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Facility did not report outbreaks as required.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dean Valencia conducted an unannounced complaint inspection on today's date, 7/19/22. LPA met with Director Sandra Flores, and at 9am LPA conducted a tour of the facility and census of children was taken. LPA observed 10 infants with 3 infant teachers. On 6/22/22 a complaint was filed with the Department alleging the above.
During the course of the investigation, LPA interviewed six staff, several parents, conducted 2 separate physical plant inspections of each preschool classroom on 6/28/22 and 7/19/22, and gathered and reviewed facility documentation related to the allegation. From information obtained from interviews, records review and observations it has been determined that there is a preponderance of evidence to support the allegation that the facility did not report outbreaks as required. From interview with staff, specifically staff #1 (see Confidential Names List LIC811) it was determined that the facility had a reportable case of Hand Foot Mouth in two seperate households. This was reported to both Public Health and State Child Care Licensing. The facility also had one confirmed case of covid19+ which was reported to Public Health, but was not reported to State Child Care Licensing. (continued on LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022
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 5
Control Number 06-CC-20220622084133
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: RUBY DRIVE EARLY HEAD START
FACILITY NUMBER: 304371056
VISIT DATE: 07/19/2022
NARRATIVE
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(page 2)
Child Care Centers are required to report individual covid19+ cases or exposures to Public Health and State Licensing, which was communicated to all facilities via PIN (Provider Information Notice) 20-11 CCP. In addition, this requirement was linked in a PIN 22-10 CCP. In this PIN is a link to the most updated Guidance for Child Care Providers and Programs from CA Department of Public Health. In this Guidance it specifically states that in a child care center, if there is an individual exposure or case of covid19+ it must be reported to the local CCL regional office. From this information LPA determined that there was a preponderance of evidence to support the allegation that the facility failed to follow reporting requirements of a covid19+ case.

Based on the information gathered over the course of the investigation by LPA, it was determined that the preponderance of evidence standard was met and the allegation is substantiated. The substantiated allegation constitute a violation of Reporting Requirements; Title 22 Regulation sections 101212(d), respectively. One B violation is cited and can be reviewed on the attached LIC9099D page.

Appeal Rights and deficiencies were discussed. The facility representative 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. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative during the time of the inspection on today's date 7/19/22.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 06-CC-20220622084133
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: RUBY DRIVE EARLY HEAD START
FACILITY NUMBER: 304371056
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/26/2022
Section Cited
CCR
101212(d)
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Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the
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The director stated they will email the LPA a statement acknowledging that the facility understands that they will report any potential future covid19+ cases or exposures to both CA Public Health and local CCL regional office. This acknowledgment email will be submitted to LPA by 7/26/22.
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information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. The above was not met as evidenced by: Based on interviews and record review it was determined that the facility did not report a single covid19+ case to CCL. This presents a potential threat to the children's health and safety.
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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: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
06/22/2022 and conducted by Evaluator Dean Valencia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220622084133

FACILITY NAME:RUBY DRIVE EARLY HEAD STARTFACILITY NUMBER:
304371056
ADMINISTRATOR:ANGELICA TORRESFACILITY TYPE:
830
ADDRESS:601 RUBY DRIVETELEPHONE:
(714) 854-8787
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY:16CENSUS: 10DATE:
07/19/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Sandra FloresTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Facility did not prevent the spread of a disease.
Staff are not sanitizing facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dean Valencia conducted an unannounced complaint inspection on today's date, 7/19/22. LPA met with Director Sandra Flores, and at 9am LPA conducted a tour of the facility and census of children was taken. LPA observed 10 infants with 3 infant teachers. On 6/22/22 a complaint was filed with the Department alleging the above. During the course of the investigation, LPA interviewed six staff, several parents, conducted 2 separate physical plant inspections of each preschool classroom on 6/28/22 and 7/19/22, and gathered and reviewed facility documentation related to the allegation.
During LPA's observations of the classrooms, LPA observed facility staff inspecting children for illness, ensuring children were clean and washing hands, as well as sanitizing the classroom regularly. Staff were interviewed by LPA on 5/4/22 and during the interviews staff exhibited knowledge of Daily Inspection for Illness, personal rights of the children, and Buildings and Grounds Regulations related to sanitizing/cleaning; and stated they are always to be within complaince of these discussed Title 22 Regulations. Parents were interviewed on 7/14/22, and did not provide any preponderance of evidence to support the allegations. (continued on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20220622084133
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: RUBY DRIVE EARLY HEAD START
FACILITY NUMBER: 304371056
VISIT DATE: 07/19/2022
NARRATIVE
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(page 2)
Based on this gathered information, the allegations of Facility did not prevent the spread of a disease and Staff are not sanitizing facility, were not determined to have a preponderance of evidence to support them. Additionally, LPA was unable to demonstrate that these allegations or that the facility at any point in the past was out of compliance of Daily Inspection for Illness, children's personal rights, or Buildings and Grounds related to cleaning/sanitizing. LPA was unable to make the determination from the information gathered that these allegations did not ever occur, or that there wasn't a preponderance of evidence to support these allegations, at some point. Due to this reasoning the most factual finding on the allegations, with all available information to LPA during the investigation are unsubstantiated.

Based on all this information LPA gathered, the preponderance of evidence standard for the allegations was not met, therefore the above allegations are found to be unsubstantiated. From all of the available information obtained by LPA during the course of the investigation, that there is insufficient evidence indicating that the Facility did not prevent the spread of a disease or Staff are not sanitizing facility. Based on all of the information LPA gathered, LPA was not able to determine that these allegations were false or untrue. Therefore LPA cannot make the determination that these allegations are unfounded; and the most accurate findings would remain at unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are unsubstantiated. Exit interview was conducted, and report was reviewed and discussed. Notice of Site Visit was posted during the visit. The facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100 per day. The facility was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5