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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198013437
Report Date: 01/07/2022
Date Signed: 01/07/2022 12:33:50 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
12/21/2021 and conducted by Evaluator Seung Lee
COMPLAINT CONTROL NUMBER: 33-CC-20211221145500
FACILITY NAME:FIREHOUSE PRESCHOOLFACILITY NUMBER:
198013437
ADMINISTRATOR:CATHERINE MARCELLINEFACILITY TYPE:
850
ADDRESS:1923 N. ALLEN AVENUETELEPHONE:
(626) 798-2865
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY:51CENSUS: 30DATE:
01/07/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Ishani MarcellineTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Facility is not following COVID-19 mask requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Ishani Marcelline.

During the course of this investigation LPA Lee conducted interviews, reviewed documents, and made observations in regards to the above allegation.

The allegation in the complaint specified that the facility was enforcing a policy regarding masks for children in care that did not comply with the latest up to date guidelines for masks wearing in child care centers. During the investigation LPA Lee did obtain a copy of a document from the facility that stated all children 3 years old and up must wear a mask indoors. The document from the facility was observed to be in conflict with latest guidelines which is a potential risk for children in care. The Director stated that this policy was older facility policy that should have been updated before. During the inspection The Director provided a new document for parents that changed the wording from 3 years old to 2 years old for indoor mask wearing.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
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-20211221145500
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: FIREHOUSE PRESCHOOL
FACILITY NUMBER: 198013437
VISIT DATE: 01/07/2022
NARRATIVE
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. Based on the information obtained during the investigation, the preponderance of evidence standard has been met, therefore the allegation that facility is not following COVID-19 mask requirements is Substantiated. California Code of Regulations,(Title 22, Division 12 & Chapter Number 6), is being cited on the attached LIC 9099D.

The notice of site inspection must remain posted for a period of 30 days during business hours. Failure to maintain posting during business hours will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Ishani Marcelline. Appeal rights discussed and explained.
SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20211221145500
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: FIREHOUSE PRESCHOOL
FACILITY NUMBER: 198013437
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/14/2022
Section Cited
CCR
101223(a)(2)
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Personal RIghts
The licensee shall ensure that each child is accorded the following personal rights. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by the fact that the facility's written policty was not in compliance with
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The Director provided the POC during the inspection by providing a copy of the updated policy regarding mask wearing for children.
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the latest guidelines for child care centers. This is a potential 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.
SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3