Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426213750
Report Date: 08/28/2018
Date Signed 08/28/2018 05:10:07 PM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/27/2018 and conducted by Evaluator Sylvia Mendoza-Ceja
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20180827080928
FACILITY NAME:LA PURISIMA CONCEPCION LITTLE SAINTS PRESCHOOLFACILITY NUMBER:
426213750
ADMINISTRATOR:TERESE MUNOZ-HILLFACILITY TYPE:
850
ADDRESS:219 W. OLIVE AVENUETELEPHONE:
(805) 736-6210
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:87CENSUS: 67DATE:
08/28/2018
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Terese Munoz-HillTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility is operating out of ratio
Staff working in the capacity of teachers are not qualified
INVESTIGATION FINDINGS:
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Today, LPA observed in classroom #1 and the #K classroom to be operating beyond the teacher child ratios. Upon entering the preschool at 10:15 AM, LPA observed child #1 (from the #K classroom) to be unsupervised sitting in a chair watching the elementary school children on the playground. LPA asked child #1, why are you not in your classroom. Child #1 then ran around the restroom building.

-LPA advised staff #1 who was in the restroom with three children about child #1 not being supervised . Staff #1 stated she was not aware child #1 was not supervised. After interviewing staff #1 and staff #2 it was determined that staff #2 was sending some of the children to the restroom and staff #1 was sending them back to #K classroom. Staff #1 stated she was assisting another child and did not know child #1 had been sent to the restroom. It was later determined in the K classroom, there is one fully qualified teacher and one aide caring for up to 18 children.
-LPA also observed staff #3 who is a qualifed teacher in classroom #1 supervisng 17 children while staff #4 (qualified teacher) was with one child to the restroom. LPA also interviewed staff #3 and #4.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Deborah AjaoTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132 FAX 685-1820
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2018
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 17-CC-20180827080928
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LA PURISIMA CONCEPCION LITTLE SAINTS PRESCHOOL
FACILITY NUMBER: 426213750
VISIT DATE: 08/28/2018
NARRATIVE
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Based on observations, interviews with staff, and record review revealed the Licensee failed to be in compliance with teacher child ratios and failed to have qualified staff supervising the children.

The deficiencies cited under Title 22 Division 12 in regards to the above violations. Appeal rights provided.
Upon receipt, post and provide copies of this licensing report: to parents/guardians of children in care at the facility and to parents/guardian of children newly enrolled at the facility during the next 12 months. Licensee shall obtain signatures of parents/guardian on the Acknowledgement of Receipt of Licensing Reports LIC 9224.

LPAs observed the Notice of Site Visit posted.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Deborah AjaoTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132 FAX 685-1820
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 17-CC-20180827080928
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LA PURISIMA CONCEPCION LITTLE SAINTS PRESCHOOL
FACILITY NUMBER: 426213750
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/28/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/28/2018
Section Cited
CCR
10216.3(a)(b)
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10216.3 (a) (b) 101216.3(a) Teacher – Child Ratio. There shall be a ratio of one teacher supervising no more than 12 children in attendance except as specified in (b)... one teacher and one aide for every 15 children in attendance.
--This requirement was not met as evidenced by LPA's observations, record review, and interviews with staff.
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Please Correct Immediately.
Submit a written plan of correction to Licensing for review.
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LPA observed staff #1 a qualified teacher and staff #2 an aide supervising 18 children (K classroom). LPA also observed staff #3 qualifed teacher in classroom #1 supervisng 17 children while stIaff #4 (qualified teacher) was with one child in the restroom which poses an immediate Health, Safety, or Personal Rights risk to children in care
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Type A
08/28/2018
Section Cited
CCR
101216.1(b)
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101216.1(b) Teacher Qualifications and Duties. Prior to employment a teacher shall meet the specified requirements.

--This requirement was not met as evidenced by LPA's observations, record review, and interviews with staff.
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Please Correct Immediately.
Submit a written plan of correction to Licensing for review.
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Review of staff qualifications revealed staff #1 who is an aide was working in the capacity of a teacher which poses an immediate Health, Safety, or Personal Rights risk to 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.
SUPERVISOR'S NAME: Deborah AjaoTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132 FAX 685-1820
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2018
LIC9099 (FAS) - (06/04)
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