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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334830762
Report Date: 02/02/2022
Date Signed: 02/02/2022 03:07:33 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/10/2022 and conducted by Evaluator Susan Brewer
COMPLAINT CONTROL NUMBER: 10-CC-20220110141608
FACILITY NAME:KID'S WORLD PRESCHOOLFACILITY NUMBER:
334830762
ADMINISTRATOR:MONICA CARRANZAFACILITY TYPE:
850
ADDRESS:29879 SANTIAGO ROADTELEPHONE:
(951) 699-9777
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY:148CENSUS: 147DATE:
02/02/2022
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Director Monica CarranzaTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff are not following COVID-19 mandates
INVESTIGATION FINDINGS:
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On the above date and time listed above, Licensing Program Analysts (LPAs) Susan Brewer and Joanne Domingo, arrived at the facility unannounced for the purpose of concluding a Complaint Investigation and to deliver findings. LPAs were greeted by the Director Monica Carranza, stated the purpose of the visit and conducted a COVID-19 Pre-Screening, prior to entering the facility. A census was taken of 147 .

On 01/19/2022 (LPAs) Susan Brewer and Joanne Domingo, conducted an Initial 10-Day inspection where pertinent interviews were conducted, records were obtained and observations were made, further investigation was needed.

Regarding the Allegation: It was alleged that facility staff are not following COVID-19 mandates. On the 01/19/2022 at approximately 5:03 PM, LPAs took a census and observed 38 children present care without masks. The director Monica Carranza, stated that the wearing of masks is encouraged by not forced.
Continued on LIC9099C:
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
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 4
Control Number 10-CC-20220110141608
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: KID'S WORLD PRESCHOOL
FACILITY NUMBER: 334830762
VISIT DATE: 02/02/2022
NARRATIVE
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Continued from LIC9099:
On 01/19/2022 during an interview with the Director Monica Carranza, the director stated that the facility reported 4 confirmed COVID-19 cases for children that day, to Community Care Licensing. At approximately 5:09 PM, during the tour of the facility LPAs observed children's un-used masks clipped to the classroom walls' crown molding along the perimeter of each classroom, with children's names on them. The facility continued to operate without following or implementing precautions for children that were at risk due to the recent exposures of COVID-19, by stating that the facility does not force children to wear masks.

On 01/20/2022 LPA Susan Brewer, received a phone call from the Director Monica Carranza, to report 2 additional confirmed COVID-19 cases that were not previously reported to Community Cares Licensing. One incident was confirmed on 12/17/2021. The director stated that she was unaware that the cases were not reported. The 2nd staff was confirmed on 01/05/2022 in the early morning and continued to work at the facility with vulnerable children for 3.5 hours and sent home only after coverage was secured. The census for the classroom that day was 21, as verified by the director.

On 02/02/2022 the LPA Susan Brewer and Joanne Domingo took a census of 147 children present however the sign-in sheets had only 135 children signed in to the facility. Director Monica Carranza, attempted to identify which children were present and not signed in. At approximately 12:54 AM the site supervisor Angela Pena, informed LPA Joanne Domingo, that all 12 children missing from the sign in sheet had been identified.
At approximately 11:19 AM LPAs conducted census and the following was observed: Room 2, 24 Children present (7 children without mask). The director stated that one child had an exemption and the other was pending an exemption. Room #3, 22 children, (2 without masks); Room #2, (indoors, 7 children present, all without masks). Room #2, (Outdoors, 10 children present); Room #7, (13 children all without masks); Room #6 and #5, (49 children outside eating), and Room #4, (22 children, 8 children without masks).

See LIC 9099D's for Type B Citations cited for 101223(a)(2) Personal Rights, 101212(d)(1)(C) Reporting Requirements, 101229.1(b) Sign In and Sign Out.

Based on the interviews conducted, the documentation obtained and observations by the department, the allegation: Staff are not following COVID-19 mandates is SUBSTANTIATED. The preponderance of evidence standard has been met. An exit interview was conducted, Appeal Rights were reviewed and a copy of this report was left with Director Monica Carranza on 02/02/2022.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 10-CC-20220110141608
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KID'S WORLD PRESCHOOL
FACILITY NUMBER: 334830762
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/03/2022
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a) The Licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful & comfortable accommodations, furnishings & equipment to meet his/her needs.
This requirement is not met as evidenced by: On 01/19/2022 The licensee did not ensure
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The director agrees to create and provide a new letter to all staff and parents advising that all staff and children over the age of 2 years old will wear a protective face covering. Staff will sign off on the letter, and a copy will be maintained in their files. Director will send a copy of the letter to LPA by 5:00pm, on 02/03/2022.
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The personal rights of persons in care for safe & healthful accommodations, where LPAs observed 38 children, not wearing face coverings or had an individual mask exception as required by the CA Dept. of Public Health Guidance issued on July 28, 2021, which is a potential health & safety risk to children in care.
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Type B
02/03/2022
Section Cited
CCR
101212(d)(1)(C)
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101212 Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1), Events reported shall include the following:(C) Any unusual incident or child absence that threatens the physical/emotional health/safety of any child.
This requirement was not met as evidenced by:
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The director Monica Carranza, agrees to write a statement of understanding the Tilte 22 regulation for Reporting Requirements and will ensure that the regulation is met in the future. The director will submit the statement to the LPAs by 5:00 PM, on 02/03/2022.
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Based on information gathered through interviews conducted, the licensee failed to report Unusual Incidents to Community Care Licensing upon receipt and knowledge that staff and children tested positive for COVID-19, which poses and potential risk to the health & safety 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: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 10-CC-20220110141608
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KID'S WORLD PRESCHOOL
FACILITY NUMBER: 334830762
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/07/2022
Section Cited
CCR
101229.1(b)
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101229.1 Sign In and Sign Out
(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

This regulation was not met as evidenced by:
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The licensee director agrees to provide a written plan to ensure that children entering the facility will be signed in & head counts will be verified by the staff to ensure that all children in care are accounted for, including a reminder notification to staff and parents regarding the importance of signing in to the facility.
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Based on the facility sign-in and sign-out sheets reviewed for 02/02/2022 it was determined that 12 children had not signed in after a census was conducted by LPAs observed 147 children, which poses an potential risk to the health and safety of the children in care.
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The written statement and supportive documents will be submitted to community care licensing by 02/07/2022.
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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: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4