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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600052
Report Date: 05/23/2024
Date Signed: 05/23/2024 12:20:30 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
05/09/2024 and conducted by Evaluator Keely Messerschmidt
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240509165141
FACILITY NAME:CHRIST THE KING LUTHERAN PRESCHOOLFACILITY NUMBER:
376600052
ADMINISTRATOR:HUMBLE, LAURAFACILITY TYPE:
850
ADDRESS:1620 SOUTH STAGECOACHTELEPHONE:
(760) 728-7908
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:68CENSUS: 30DATE:
05/23/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Laura HumbleTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff did not report incident to appropriate parties
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility for the purpose of delivering findings regarding the above-mentioned allegation. LPA met with the Director, Laura Humble informing her of the purpose for the visit.

During this visit, LPA toured the facility and took census. LPA observed that during this time, the fecility was operating within ratio and noted that the classrooms were adequately staffed.

On May 9th, 2024, a complaint was received alleging that Staff did not report incident to appropriate parties.

See LIC809C page
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
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 10-CC-20240509165141
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHRIST THE KING LUTHERAN PRESCHOOL
FACILITY NUMBER: 376600052
VISIT DATE: 05/23/2024
NARRATIVE
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Based on interviews, when it comes to allegation that staff did not report incident to appropriate parties it was disclosed that on April 19th 2024 a homeless person came into the preschool courtyard causing the classrooms to go into lock-down. Director was able to escort person outside the courtyard and the Pastor took over. It was also disclosed that not all parents were notified of incident and an Unusual Incident Report was not submitted to Community Care Licensing (CCL).

Based on LPA observations, interviews conducted and a review of records, the preponderance of evidence standard has been met. Therefore the above allegation is found to be SUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with the Director, Laura Humble, and a copy was provided. Appeal rights were discussed. A Notice of Site visit was given, and Director understands that it must remain posted for 30 days.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
05/09/2024 and conducted by Evaluator Keely Messerschmidt
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240509165141

FACILITY NAME:CHRIST THE KING LUTHERAN PRESCHOOLFACILITY NUMBER:
376600052
ADMINISTRATOR:HUMBLE, LAURAFACILITY TYPE:
850
ADDRESS:1620 SOUTH STAGECOACHTELEPHONE:
(760) 728-7908
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:50CENSUS: 30DATE:
05/23/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Laura HumbleTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff are operating the facility out of ratio
Unqualified staff are providing care to children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility for the purpose of delivering findings regarding the above-mentioned allegations. LPA met with the Director, Laura Humble informing her of the purpose for the visit.

During this visit, LPA toured the facility and took census. LPA observed that during this time, the fecility was operating within ratio and noted that the classrooms were adequately staffed.

On May 9th, 2024, a complaint was received alleging that Staff are operating the facility out of ratio and
Unqualified staff are providing care to children.

See LIC809C page
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 10-CC-20240509165141
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHRIST THE KING LUTHERAN PRESCHOOL
FACILITY NUMBER: 376600052
VISIT DATE: 05/23/2024
NARRATIVE
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Based on interviews, when it comes to the allegation that staff are operating the facility out of ratio it was disclosed that they always are over staffed and maintain a 1:8 ratio. It was also stated that classrooms typically have less than 12 children with 2 staff members, but there are times on the playground when classrooms are combined, it appears like a lot of children but ratios are still always met. Based on LPA's observations, LPA has observed classrooms to be overstaffed with low ratios during current and past visits. Director agreed to go over licensing ratios with staff to ensure awareness when it comes to positions and titles of staff members.

Lastly, based on interviews, when it comes to allegation that unqualified staff are providing care to children it was disclosed that some staff are referred to as an aide even though they are a fully qualified teacher. It was also disclosed that there are 3 aides out of the 10 staff members and they are only alone during nap time when all children are asleep if at all. LPA reviewed staff files and confirmed staff credentials. Director agreed to go over with staff who is teacher qualified and who can and cannot be alone with children.

Based on the information obtained during this investigation, it has been determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with the Director, Laura Humble, and a copy was provided. Appeal rights were discussed. A Notice of Site visit was given, and Director understands that it must remain posted for 30 days.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20240509165141
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: CHRIST THE KING LUTHERAN PRESCHOOL
FACILITY NUMBER: 376600052
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2024
Section Cited
CCR
101212(d)
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Reporting Requirements: 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.
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Director agrees to submit a plan of correction on how the facility will handle notifying parents and CCL when an incident takes place during operation hours. Director will submit POC to LPA via email by 5/31/24.
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In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. This was not met as evidenced by, based on interviews parents and CCL were not notified that school went on lockdown. This is a potential health and safety risk to 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: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5