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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364846079
Report Date: 05/07/2025
Date Signed: 05/07/2025 09:55:49 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/11/2025 and conducted by Evaluator Taityana Benson
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250211143751
FACILITY NAME:FORTUNE PRESCHOOLFACILITY NUMBER:
364846079
ADMINISTRATOR:SAHLAH STORKSFACILITY TYPE:
850
ADDRESS:655 W 2ND STTELEPHONE:
(909) 884-1410
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92410
CAPACITY:36CENSUS: 9DATE:
05/07/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Sahlah Storks, Preschool DirectorTIME COMPLETED:
10:10 AM
ALLEGATION(S):
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Admission Agreement - Staff is not adhering to admissions agreement.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Taityana Benson arrived at the facility to deliver the findings of the above complaint allegation. LPA meet with Director Sahlah Storks, conducted a tour of the facility inside, outside, and took a census. An in-person 10-day inspection was initiated by LPA Taityana Benson on February 19, 2025. During the initial inspection, LPA Benson met with the Director Sahlah Storks. During the investigation, interviews were conducted with pertinent parties and documentation was collected.

On February 11, 2025, a complaint was received alleging staff is not adhering to the admissions agreement. During the investigation, interviews were conducted with pertinent parties and documentation was collected. The investigation revealed that during the week of February 10, 2025, on at least one occasion, a day care child was not allowed entry into to the facility during the day care child’s authorize schedule of attendance.

Report Continued On LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
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 3
Control Number 09-CC-20250211143751
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: FORTUNE PRESCHOOL
FACILITY NUMBER: 364846079
VISIT DATE: 05/07/2025
NARRATIVE
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During the week of February 10, 2025, the initial drop off attempt of a daycare child was at approximately at 7:10 a.m. It was disclosed that a staff member instructed the parent of the day care child to be dropped off later.

LPA reviewed the facility admission agreement and the parent handbook. Per the facility admission agreement page 2, the facility hours of operation are Monday – Friday, 7:00 a.m. to 6:00 p.m. Per the parent handbook page 11, full day is 7:00 a.m. – 6:00 p.m. It was discovered that the daycare child is enrolled as a full day enrollee. Furthermore, the records reviewed disclosed the day care child was dropped off prior to 7:30 a.m. on more than one occasion during the month of February 2025. It was discovered that the facility did not adhere to their admission agreement when the parent of the daycare child was instructed to return later to drop off the day care child by a staff member. Although, the daycare child was granted entry into the facility by a staff member after 7:30 a.m., there was not a modification of the admission agreement between the facility and the daycare child’s parent following the initial admission agreement at the time of enrollment.

Based on interviews with pertinent parties and records obtained throughout the investigation, the department has determined the preponderance of evidence standard has been met, therefore the allegation of admission agreement is found to be SUBSTANTIATED. See LIC9099-D for deficiency cited per California Code of Regulations Title 22, Division 12.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and report was reviewed with Director Sahlah Storks.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20250211143751
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FORTUNE PRESCHOOL
FACILITY NUMBER: 364846079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/21/2025
Section Cited
CCR
101219(d)
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101219(d) Modifications to the original admission agreement shall be made whenever circumstances covered in the agreement change, and shall be dated and signed by the persons specified in (c) above.

This requirement is not met as evidenced by:
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Licensee agrees to write a statement of understanding of regulation 101219(d) Admission Agreement or establish a written policy regarding admission agreement modifications. Licensee agrees to submit a copy of the written statement or established written policy regarding admission agreement
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Based on interviews and records reviewed, during the week of 02/10/2025, on at least one occasion, a day care child was not allowed entry into to the facility during their authorize schedule of attendance, which is a potential risk to the health and safety of children in care.
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modifications to Community Care Licensing by the end of the business day on the POC due date of 02/21/2025.
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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: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
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