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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444406696
Report Date: 01/12/2022
Date Signed: 01/12/2022 04:44:00 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/20/2021 and conducted by Evaluator Cortney Nelson
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20211020113356
FACILITY NAME:HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOLFACILITY NUMBER:
444406696
ADMINISTRATOR:REGINA MOLINAFACILITY TYPE:
850
ADDRESS:40 BLANCA LANETELEPHONE:
(831) 724-0175
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:70CENSUS: 47DATE:
01/12/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Regina MolinaTIME COMPLETED:
01:41 PM
ALLEGATION(S):
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Staff do not encourage daycare children to wear a mask.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Cortney Nelson and Samantha Yip, met with Site Director, Regina Molina, and explained purpose of visit, complaint investigation of above allegations. LPAs were admitted into the facility at approximately 11:29AM.

LPAs conducted interviews with staff, children, site director, and parents in regards to above allegations. Observation of the facility was conducted by LPA Yip and staff/children records were reviewed by LPA Yip and Nelson. A preponderance of evidence was found to SUBSTANTIATE the above allegations. Details regarding evidence found for each allegation is detailed below.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2022
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 07-CC-20211020113356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOL
FACILITY NUMBER: 444406696
VISIT DATE: 01/12/2022
NARRATIVE
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Allegation of staff do not encourage day care children to wear a mask is substantiated based on the following facts and findings:

-Phone interviews conducted with 8 parents at the center, 4 parents out of 8 stated that staff do not encourage children to wear a mask. Parents stated that when dropping off most children have on a mask but at the end of the day almost all children do not have a mask on.

-When arriving at the facility on 10/28/2022, LPA Yip observed 5 out of 44 children wearing a mask. LPAs Yip and Nelson arrived at the facility on 1/12/2022 and observed 3 out of 47 children wearing a mask. LPAs did not hear any teachers encouraging children to wear a mask while at the facility. All children at the facility are over the age of 2 and are required to wear a mask in indoor settings.

-When interviewing staff, they state that children wear a mask when they arrive to the center but that it is difficult to encourage the children to keep on the mask. Staff did not go into specifics about the methods of encouragement or strategies for mask wearing.

Deficiencies have been cited as a result of this investigation. See 9099D for details of citation.

Exit interview conducted and report was reviewed with the licensee, Regina Molina.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/20/2021 and conducted by Evaluator Cortney Nelson
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20211020113356

FACILITY NAME:HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOLFACILITY NUMBER:
444406696
ADMINISTRATOR:REGINA MOLINAFACILITY TYPE:
850
ADDRESS:40 BLANCA LANETELEPHONE:
(831) 724-0175
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:70CENSUS: 47DATE:
01/12/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Regina MolinaTIME COMPLETED:
01:41 PM
ALLEGATION(S):
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Staff are not wearing a mask

Daycare child sustained unexplained injury while in care

Staff did not notify the child's authorized representative of the incident

Staff do not help clean children's hands

Staff are not adequately sanitizing

Staff did not notify children's authorized representative of infectious respiratory illness.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Cortney Nelson and Samantha Yip, met with Site Director, Regina Molina, and explained purpose of visit, complaint investigation of above allegations. LPAs were admitted into the facility at approximately 11:29AM.

LPAs conducted interviews with staff, children, parents, site director, and Department of Public Health in regards to above allegations. Observation of the facility was conducted by LPA Yip. Staff files, children files, and facility documents were reviewed by LPA Yip and Nelson. Based on the information obtained, the above allegations were found to be UNSUBSTANTIATED, meaning although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred.

As a result of this investigation, no deficiences were cited.

Exit interview conducted and report was reviewed with the licensee, Regina Molina.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2022
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 4
Control Number 07-CC-20211020113356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOL
FACILITY NUMBER: 444406696
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/26/2022
Section Cited
CCR
101223(a)(2)
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(a) The licensee shall ensure that each child is accorded the following personal rights (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement was not met as evidenced by:
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Licensee will submit written plan for how children will be encouraged to wear a mask. Plan will include at least 3 different strategies that will be utilized by the facility.
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Based on record review, observation, and interviews, staff did not encourage children to wear masks which is a potential risk to the health, safety, and personal rights 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: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4