Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426213750
Report Date: 02/27/2017
Date Signed 02/27/2017 12:40:53 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
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 PRESCHOOLFACILITY NUMBER:
426213750
ADMINISTRATOR:TERESE MUNOZ-HILLFACILITY TYPE:
850
ADDRESS:219 W. OLIVE AVENUETELEPHONE:
(805) 735-7226
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:87CENSUS: 0DATE:
02/27/2017
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Terese Munoz-Hill and Orland LeonTIME COMPLETED:
01:00 PM
NARRATIVE
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A Case Management visit was conducted by LPAs S. Mendoza-Ceja and R. Gull to document the deficiencies that were found during the course of a complaint investigation. LPA Mendoza-Ceja interviewed the Director and staff regarding the incident.

On February 9, 2017, staff #1 inappropriately handled child #1. Staff #1 stated she held child #1 with her fingers around the wrist. Staff #1 stated she told child #1, "please walk with me" because child #1 was tugging. Staff #1 also told child #1 " I do not like it when you pull on my hand". Staff #1 was taking child #1 to the Director's Office. The Director was not available.

Staff #4 and #7 stated they observed staff #1 inappropriately handle child #1. The Director was informed of staff #1's inappropriate conduct with child #1. Staff #2 stated she has talked to the Director regarding staff #1's inappropriate conduct with children prior to the incident..

Interviews with other staff revealed they have also observed staff #1 inappropriately handle and speak to children.

A Noncompliance Conference is scheduled for March 7th, 2017 at 2:00 PM at the Santa Barbara Regional Office.

Today, 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: 02/27/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2017
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 02/27/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/27/2017
Section Cited
101215.1 (c)
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101215.1 (c) Child Care Center Directors Qualifications and Duties. The child care center director shall be responsible for the operation of the center, for compliance with regulations, and for communications with the Department; and has the authority to acknowledge receipt of deficiency notices and to correct deficiencies that constitute immediate threats to children's health and safety.
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Correct Immediately. Please submit a plan of correction to Licensing for review.
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The Child Care Center Director failed to address concerns that were brought to her attention prior to February 9, 2017, regarding staff #1's inappropriate excessive handling and speaking with children.
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Type A
02/27/2017
Section Cited
101216 (c)
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101206 (c) Conduct Inimical. Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state.
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Correct Immediately. Please submit a plan of correction to Licensing for review.
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--Complaint investigation revealed the Director was not forthright with the department when she called the department to report an unusual incident regarding staff #1 violating a child's rights. Director failed to disclose the full details of her investigation of incident involving staff #1 inappropriately handling of child #1.
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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: 02/27/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2017
LIC809 (FAS) - (06/04)
Page: 3 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 02/27/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/27/2017
Section Cited
101223(a) (2)
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101223(a)(2) Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
On February 9, 2017, staff #1 was observed by two staff to inappropriately handle child #1. Staff #1 has also been observed to be inappropriate and use excessive force when handling and speaking with other children in care.
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Please submit a written plan of correction to Licensing to ensure this violation is not repeated.
Type A
02/27/2017
Section Cited
101216 (a)
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101216 (a) Personal Requirements. Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs.
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Please submit a written plan of correction to Licensing to ensure this violation is not repeated.
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Investigation revealed staff #1 was not capable of meeting the needs of child #1 and other children in care. When staff #1 was interviewed staff #1 was not aware she had violated child #1's or any other child's personal rights.

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02/27/2017
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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: 02/27/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2017
LIC809 (FAS) - (06/04)
Page: 2 of 3