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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416556
Report Date: 04/27/2023
Date Signed: 04/27/2023 11:21:47 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/06/2023 and conducted by Evaluator Suzette Ornelas
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20230206104735
FACILITY NAME:SAINT FRANCIS DE SALES PRESCHOOLFACILITY NUMBER:
197416556
ADMINISTRATOR:JERRILYNN FORDFACILITY TYPE:
850
ADDRESS:13368 VALLEYHEART DRIVETELEPHONE:
(818) 784-9573
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91423
CAPACITY:20CENSUS: 11DATE:
04/27/2023
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:JERRILYNN FORD - DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Allegation 1 - Staff are denying the daycare children access to water
INVESTIGATION FINDINGS:
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On 4/27/2023, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced visit
for the purpose of delivering the findings for the above-mentioned allegation. LPA Ornelas met with Jerrilynn Ford, Director. LPA toured the facility and observed 11 children in care being supervised by 4 staff.

During the course of the investigation, LPA Ornelas made observations, conducted children, staff and parent interviews in regard to the above allegation.

On 2/10/2023, LPA Ornelas conducted an unannounced visit at the Child Care Center (CCC). LPA
observed children’s water containers to be located throughout the facility, filled with water and accessible to children in care. When interviewing child #1, #8, and #14, stated that sometimes they are told to wait a little while (under 1 minute) until after they are done with an activity such as reading a story or singing a song to obtain water. When interviewing the Director, LPA provided director with
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
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 58-CC-20230206104735
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: SAINT FRANCIS DE SALES PRESCHOOL
FACILITY NUMBER: 197416556
VISIT DATE: 04/27/2023
NARRATIVE
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guidance on ensuring children have direct access to drinking water at all times so they are free to drink as they wish indoors and outdoors. Director obtained a basket where all children’s water containers were placed and announced to children and teachers where the water containers would be located.

Based on the information obtained throughout the course of the investigation, children confirmed that they sometimes have to wait to access to drinking water. The allegations that staff are denying the daycare children access to water is substantiated: A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

The following deficiency is being cited today 4/27/2023 cited per California Code of Regulations, TITLE 22:
Type B Drinking Water 101239.2(a)(1)

LPA Ornelas informed Director Ford that this report dated 4/26/2023 documents 1 Type B
citation Drinking Water 101239.2(a)(1). This poses a potential risk to the health and safety of children in care.

An exit interview was conducted, and a copy of this report, appeal rights along with the Notice of Site Visit were provided to Director Jerrilynn Ford.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20230206104735
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SAINT FRANCIS DE SALES PRESCHOOL
FACILITY NUMBER: 197416556
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/27/2023
Section Cited
CCR
101239.2(a)(1)
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101239.2(a)(1) Drinking Water
(a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area.(1) Children shall be free to drink as they wish.

This requirement is not met as evidenced by:
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Licensee placed all childrens water containers inside a basket making it easier for children to grab their water contaiiners as they wish both indoors and outdoors. Director will hold a meeting to remind teachers and provide LPA with a signatures of attendees.
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Based on observations, and interviews, children stated they sometimes have to wait a little while until being done with an activity to drink water and are not able to drink as they wish.
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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: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
LIC9099 (FAS) - (06/04)
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