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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198005675
Report Date: 05/30/2023
Date Signed: 05/30/2023 12:22:16 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/27/2023 and conducted by Evaluator Carolyn Tuba
COMPLAINT CONTROL NUMBER: 33-CC-20230427104400
FACILITY NAME:WALNUT VALLEY PRESCHOOL AND EARLY LEARNING CENTERFACILITY NUMBER:
198005675
ADMINISTRATOR:CHRISTINE GARCIAFACILITY TYPE:
850
ADDRESS:841 S. GLENWICK AVE.TELEPHONE:
(909) 595-1261
CITY:WALNUTSTATE: CAZIP CODE:
91789
CAPACITY:72CENSUS: 54DATE:
05/30/2023
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Christine GarciaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Facility operating out of ratio.
INVESTIGATION FINDINGS:
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On 5/12/2023 at 9:30 a.m., Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced complaint inspection for the above allegation and to deliver findings. A Covid-19 risk assessment was conducted. LPA was greeted by office staff and Director, Christine Garcia arrived shortly at around 9:45 a.m. Director guided LPA on a tour to gain the census of 54 children in care with 6 staff. LPA conducted interviews with staff and asked Director for additional information. LPA provided Director consultation.
During interviews with Staff #1, Staff #2 and Staff #3. Staff #2 and Staff #3 disclosed there had been an incident where Staff #2 on a specific day had left the class with 16 to 18 children due to a stressful situation that had occurred earlier that morning and needed to take a break. Staff #2 was under the impression that there was coverage. LPA learned that staff member was left out of ratio, but determined that it was a qualified, fingerprinted cleared teacher who had remained in the classroom alone for only 5 minutes and additional coverage by another staff member had been found to cover and assist the teacher.
Complainant alleged that Facility operating out of ratio. Based on staff interviews on 5/5/2023 and
page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
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 33-CC-20230427104400
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WALNUT VALLEY PRESCHOOL AND EARLY LEARNING CENTER
FACILITY NUMBER: 198005675
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/06/2023
Section Cited
CCR
101216.3(a)
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101216.3 (a)Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.

This requirement is not met as evidenced by:
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Per Director she will be meeting with staff and will go over proper procedures when needing to leave the classroom and outside area. Staff will make sure that they have someone replace them before leaving additional staff out of ratio. Director will provide LPA with a copy of the meeting details and signatures
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 Based on interviews, teacher was left alone with more then 12 children in care for 3 to 5 minutes due to qualified teacher left the classroom without proper supervision to assist other staff member.
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of staff Director met with. Director also states that she will remind staff when they hold their staff meeting again in the Fall, as some staff are gone for the summer, since it is a school district and staff may be gone during the summer break.
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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: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20230427104400
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: WALNUT VALLEY PRESCHOOL AND EARLY LEARNING CENTER
FACILITY NUMBER: 198005675
VISIT DATE: 05/30/2023
NARRATIVE
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5/12/2023, LPA Carolyn Tuba clarified California Code Title 22 section 101216.3(a), which states that Teacher-Child Ratio there shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

The deficiency listed on the following page was documented by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC9099-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative, a civil penalty of $100 can be assessed.

Exit Interview was conducted and appeal rights (LIC 9058 03/22) were given, along with a copy of this report was provided to the Director, Christine Garcia.

page 2 of 2
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3