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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018446
Report Date: 11/09/2021
Date Signed: 11/09/2021 04:07:26 PM

Unsubstantiated


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
09/01/2021 and conducted by Evaluator Roxana Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210901080439
FACILITY NAME:EAGLES NEST PRESCHOOLFACILITY NUMBER:
198018446
ADMINISTRATOR:CAMPBELL, JENNIFERFACILITY TYPE:
850
ADDRESS:10262 COLIMA RDTELEPHONE:
(562) 903-1460
CITY:WHITTIERSTATE: CAZIP CODE:
90603
CAPACITY:58CENSUS: 38DATE:
11/09/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Jennifer Fowler, Director TIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Licensee did not provide child’s authorized representative with information to assess the state of the child's health and physical and emotional development.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA's) Roxana Lopez and Steven Tung conducted a Complaint Investigation on this date. Risk assessment was conducted upon entry and appropriate PPE was used. The purpose of this visit is to provide findings of the complaint investigation which was received on 9/01/2021. LPA met with Jenniffer Fowler, Director to whom the purpose of the inspection was announced. A tour of the facility was given and census was taken.

Throughout the course of the investigation, interviews were conducted with staff and parents. LPA also reviewed and obtained copies of roster, Parent Conference Notes, Tuition and Fee Schedule Flyer, behavior notes, incident reports, C1 Toddler and infant Center contract- disenrollment email- COVID protocol- certificate of promotion, parent handbook, application packet and employee roster. Additionally, email communication was provided by the complainant.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
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 33-CC-20210901080439
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: EAGLES NEST PRESCHOOL
FACILITY NUMBER: 198018446
VISIT DATE: 11/09/2021
NARRATIVE
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An interview was conducted with the complainant. Per initial complaint report, it was reported that facility did not provide child’s authorized representative with information to assess the state of the child's health and physical and emotional development.

According to complainant, C1 was transitioned from the younger preschool to the older preschool without informing parents. Per complainant, they realized this was happening when they started receiving behavior notes.

LPA conducted interviews with staff 1 and 2. S1 disclosed that when children transition parents receive a memo stating that child is transitioning. Per S1 a memo was not given for C1’s parents because after meeting with parents it was requested for C1 to be put into an older preschool classroom. S2 corroborated that memos are provided during transition. Per S2 they were informed parents asked for C1 to move into older preschool classroom therefore no memo was provided.

Interviews conducted and documentation reviewed found that facility was in communication with C1 parents regarding transitions, however written notices nor meetings were conducted agreeing to these changes. Per interviews conducted and documentation received a zoom meeting was scheduled but never occurred since child was disenrolled. LPA conducted other interviews with parents. Parent’s statements did not express concerns with transition process, per parents they have been informed when children transition through an app or verbally.

This agency has investigated the complaint alleging Licensee did not provide child’s authorized representative with information to assess the state of the child's health and physical and emotional development.

Based on LPA’s observations and interviews which were conducted and record reviews, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated.

Exit interview was conducted with Jennifer Fowler,, Director including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role and their signature on this form acknowledges receipt of these forms.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4