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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018446
Report Date: 02/10/2022
Date Signed: 02/10/2022 11:26:54 AM

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
11/15/2021 and conducted by Evaluator Thelma Razo
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20211115110008
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: 34DATE:
02/10/2022
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Jennifer Campbell, DirectorTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Licensee did not follow proper dis enrollment process
INVESTIGATION FINDINGS:
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THIS REPORT SUPERSEDES THE REPORT GENERATED ON 1/28/2022 CHANGING THE FINDINGS FROM UNFOUNDED TO SUBSTANTIATED

Licensing Program Analyst (LPA) Thelma Razo and LPA Lilli Babcok conducted a subsequent complaint visit to deliver findings on the allegation that Licensee did not follow proper dis enrollment process. LPA met with Director Jennifer Campbell and stated the purpose of the visit.

On 11/18/2021, LPA Razo toured the facility, conducted interviews and obtained staff and children roster, Contract signed by Child #1's (C1) parents, Parent Handbook 2020, unusual incident reports for 8/26/2021 and 8/30/2021, correspondences between the center and C1's parents, and School Status Report from the physician. On 1/26/2022, LPA Razo interviewed staff and owner Jackie Fowler. LPA Razo also obtained additional documents from Director Campbell on this day: attendance sheet for C1 indicating that C1 was in the center on 8/25/21 and 8/26/21, and email dated 7/16/2020 indicating that C1's parent received the Parent Handbook.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
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-20211115110008
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: 02/10/2022
NARRATIVE
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According to Director and Licensee, the decision to dis-enroll C1 was based on the Parent Handbook which was provided to C1's parent on 7/16/2020. Per handbook, the center reserves the right to immediately dis-enroll any child due to parent's refusal to follow facility policies. Per interviews, the health policy stated in the signed contract was not followed because C1 was sent home twice, on 8/25/2021 due to vomiting and on 8/26/2021 due to continuous cough. Ms. Campbell requested the parent to bring a doctor's note prior to return. On 8/26/2021, a doctor's note was provided indicating that the child is unable to attend school from 8/23/2021 through 8/30/2021. The attendance sheet confirmed that C1 was brought to the school when C1 was supposed to be off school.

In review of the contract signed by C1s parent, the facility did not follow the disenrollment process in the contract; 1) warning, 2) three-day suspension, 3) dis-enrolled from Eagles Nest Preschool. In addition, the facility does not have an admission agreement that complies with Title 22.

Based on LPA’s observations and interviews which were conducted and record review, the preponderance of the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 is being cited on the attached LIC9099D.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director Jennifer Campbell.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20211115110008
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/01/2022
Section Cited
CCR
101219(f)
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Admission Agreements. The licensee shall comply with all terms and conditions set forth in the admission agreement. This requirement was not met as evidenced by the contract which did not follow the dis-enrollment process as indicated in the signed contract. This poses a potential safety risk to the children in care.
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Director is to submit to LPA by POC due date a revised Admission Agreement that complies with Title 22 Section 101219(f).
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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: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3