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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334818374
Report Date: 07/13/2023
Date Signed: 07/13/2023 03:06:33 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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/28/2023 and conducted by Evaluator Elyse Jones
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20230628163333
FACILITY NAME:INLAND VINEYARD PRESCHOOLFACILITY NUMBER:
334818374
ADMINISTRATOR:ANGELA TWYMANFACILITY TYPE:
850
ADDRESS:935 N. MCKINLEYTELEPHONE:
(951) 549-8396
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:133CENSUS: 33DATE:
07/13/2023
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Milena Newman, Office Assistant
Travis Twyman, Senior Pastor		TIME COMPLETED:
03:16 PM
ALLEGATION(S):
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Staff do not ensure that children are adequately fed while in care
Staff changed agreed upon services without notifying the child's authorized representative
INVESTIGATION FINDINGS:
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On July 13, 2023, Licensing Program Analysts (LPAs) Elyse Jones and Blanca Ruiz arrived at the facility to conclude the investigation regarding the above allegations. LPA conducted a tour of the facility and census was taken.

On June 28, 2023, a complaint was received alleging staff do not ensure children are adequately fed while in care and staff changed agreed upon services without notifying the child's authorized representative. It was alleged changes to food service was made without notification to authorized representatives and the facility was no longer serving afternoon snacks for some children enrolled. Prior to conducting the investigation, LPA was informed the facility reversed the change and was serving afternoon snacks to all children enrolled.

During the investigation, interviews were conducted with pertinent parties and records were reviewed, which included a 2023-2024 Family Handbook, June 2023 Snack Calendar, and a Classroom Schedule.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
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-20230628163333
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: INLAND VINEYARD PRESCHOOL
FACILITY NUMBER: 334818374
VISIT DATE: 07/13/2023
NARRATIVE
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During interviews with pertinent parties, there was a recent change of facility directors. Current Director stated prior to the change, a discussion of upcoming changes took place, which included the discontinue of serving afternoon snack to children enrolled in the facilities Extended Day Attendance option. In this option, children are picked up at 3:00pm. Director stated she was unaware authorized representatives of those children enrolled were not notified. Director stated afternoon snack was not served to those children from June 13, 2023, to June 30, 2023. Director stated after reviewing the change, she decided to continue to offer afternoon snacks to all children enrolled.

LPA reviewed the facilities 2023-2024 Family Handbook. The handbook states afternoon snacks are served at 2:45 pm, 15 minutes prior to some of the children being picked up at 3:00 pm.

Based on documents reviewed and information obtained during interviews conducted, the preponderance of evidence standard has met; therefore, the above allegations are SUBSTANTIATED.

See LIC 9099-D for the deficiencies cited.

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.

Exit interview conducted, appeal rights were discussed, and this report was reviewed with Angela Twyman, Director.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20230628163333
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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: INLAND VINEYARD PRESCHOOL
FACILITY NUMBER: 334818374
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/20/2023
Section Cited
CCR
101219(d)
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Admission Agreement
(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.
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poses a potential Health, Safety & Personal Rights risk to the children in care.

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This requirement was not met as evidenced by: Based on the interviews conducted with staff and documents reviewed, the facility made changes to the original admission agreement and authorized representatives were not notified or given the amended admission agreement to date/sign. This
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Director re-implemented the afternoon snack on the day the 10 day was initiated, effective July 1, 2023. Director understands any modifications made to the original admission agreement must be dated and signed for. Director agrees to submit a written statement of understanding of the regulation.
Type B
07/20/2023
Section Cited
CCR
101227(5)(A)
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101227 Food Services
(5) The following shall be offered daily: (A) Full-day programs shall offer a midmorning and a midafternoon snack.

This requirement was not met as evidenced by:
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Director re-implemented the afternoon snack effective July 1, 2023. Director understands children who are attending a full day program shall be offered a midmorning and midafternoon snack. Director agrees to submit a written statement of understanding of the regulation.
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Based on the interviews conducted and documents reviewed, the facility did not serve afternoon snack to some of the children enrolled. This a potential Health, Safety & Personal Rights 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: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
LIC9099 (FAS) - (06/04)
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