<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300601652
Report Date: 08/17/2023
Date Signed: 08/17/2023 11:20:15 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/10/2023 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 06-CC-20230710083859
FACILITY NAME:TEMPLE BETH DAVID PRE SCHOOLFACILITY NUMBER:
300601652
ADMINISTRATOR:WILSON, NICOLEFACILITY TYPE:
850
ADDRESS:6100 HEFLEY STTELEPHONE:
(714) 893-3091
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:63CENSUS: 20DATE:
08/17/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nicole Thomas Wilson, DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are using the chidren's bathroom.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPAs), Mila Quinto and Mahnaz Malek conducted an investigation visit to the facility to deliver the finding. Upon arrival, LPA met with director, Nicole Thomas Wilson. Census was taken. There was a total of 20 preschool children with 6 staff member.
A review of facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
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 9
Control Number 06-CC-20230710083859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TEMPLE BETH DAVID PRE SCHOOL
FACILITY NUMBER: 300601652
VISIT DATE: 08/17/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 2

The complainant alleged that staff facility is using children’s designed toilets. According to the complainant, staff do not have a separate restroom but use the children’s restroom.

On 7/13/23, LPA conducted an interview with 6 staff members including the director. According to the 6 of 6 staff, admitted using the children’s restroom when children are not present in the restroom. However, 5 staff stated there is a staff restroom available outside the classroom building.

On 7/13/23, LPA interviewed 5 preschool children. There were no disclosures from the 5 preschool children interviewed.

On 8/7/2023, LPA called 8 parents and interviewed 4 of the 8 parents. There were no disclosures made from the 4 parents interviewed. LPA did not receive a return call from the 4 parents.

Based on interviews conducted with staff, the complainant alleged facility’s staff use the children’s restroom is found to be Substantiated. A substantiated finding means that the complaint is substantiated, and the allegation is valid because the preponderance of the evidence standard has been met.

The following violation was revealed and is being cited in accordance with California Code of Regulations, Title 22, Division 12, 101239 (i) Fixtures, Furniture, Equipment and Supplies. Please refer to attached 9099 (D).

An exit interview conducted with director. Appeal Rights were explained. The Director was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The Notice of Site Visit must be posted on or adjacent to the door.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 9
Control Number 06-CC-20230710083859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: TEMPLE BETH DAVID PRE SCHOOL
FACILITY NUMBER: 300601652
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/24/2023
Section Cited
CCR
101239(i)
1
2
3
4
5
6
7
101239 Fixtures, Furniture, Equipment and Supplies (i) There shall be one toilet and one handwashing fixture, separate from...
This requirement is not met as evidence by:
1
2
3
4
5
6
7
The Director stated have discontinued using the children's bathroom. Director will provide a written plan of correction and email to LPA by due date.
8
9
10
11
12
13
14
Based on interviews conducted with staff, staff stated they use one of the children's bathroom.
This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/10/2023 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 06-CC-20230710083859

FACILITY NAME:TEMPLE BETH DAVID PRE SCHOOLFACILITY NUMBER:
300601652
ADMINISTRATOR:WILSON, NICOLEFACILITY TYPE:
850
ADDRESS:6100 HEFLEY STTELEPHONE:
(714) 893-3091
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:63CENSUS: 20DATE:
08/17/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nicole Thomas Wilson, DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating out of ratio
Facility is malodorous
Staff did not provide adequate food service
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPAs), Mila Quinto and Mahnaz Malek conducted an investigation visit to the facility to deliver the findings. Upon arrival, LPA met with director, Nicole Thomas Wilson. Census was taken. There was a total of 20 preschool children with 6 staff members.

A review of facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 9
Control Number 06-CC-20230710083859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TEMPLE BETH DAVID PRE SCHOOL
FACILITY NUMBER: 300601652
VISIT DATE: 08/17/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 2

The complainant alleged the facility is operating out of ratio. The complainant stated a teacher was left alone with 13-14 children multiple times and on the playground and 1 teacher was left with 23 children.

On 7/13/23, LPA interviewed 6 staff members including the Director. According to the 6 staff interviewed, staff denied the facility is operating out of ratio. The Director stated there is always 1 staff with 6 or 7 preschool children.

On 7/13/23, LPA interviewed 5 preschool children. There were no disclosures from the 5 preschool children interviewed.

On 8/7/2023, LPA called 8 parents and interviewed 4 of the 8 parents. There were no disclosures made from the 4 parents interviewed. LPA did not receive a return call from the 4 parents.

LPA reviewed the student’s daily attendance and staff attendance from July 3 through July 7, 2023. On July 3, 2023, the average ratio was 1 teacher to 8 students; July 5, 2023, the average ratio was 1 teacher to 4 students; July 6, 2023, the average ratio was 1 teacher to 4 students; July 7, 2023 the average ratio was 1 teacher to 4 students.
Based on interviews conducted and attendance review, the complaint alleging the facility is operating out of ratio is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

The complainant alleged the facility is malodorous. The complainant stated there is a strong odor in the 3–4-year-old classroom.

On 7/13/23, LPA interviewed 6 staff members including the Director. According to the 6 staff interviewed denied any strong odor from the 3–4-year-old classroom.

On 7/13/23, LPA interviewed 5 preschool children. There were no disclosures from the 5 preschool children interviewed.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 9
Control Number 06-CC-20230710083859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TEMPLE BETH DAVID PRE SCHOOL
FACILITY NUMBER: 300601652
VISIT DATE: 08/17/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 3

On 8/7/2023, LPA called 8 parents and interviewed 4 of the 8 parents. There were no disclosures made from the 4 parents interviewed. LPA did not receive a return call from the 4 parents.

On 7/13/23 and on 8/17/23, LPA went into the classroom and did not smell any malodorous odor.

Based on interviews conducted, the complaint alleging the facility is malodorous is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

The complainant alleged staff did not provide adequate food service. The complainant stated children are served rotten fruit during snack time.

On 7/13/23, LPA interviewed 6 staff members including the Director. According to the 6 staff interviewed denied serving rotten fruits to the children. The director stated, the skin of the banana turns brown, however it’s not spoiled.
On 7/13/23, LPA interviewed 5 preschool children. There were no disclosures from the 5 preschool children interviewed.

On 8/7/2023, LPA called 8 parents and interviewed 4 of the 8 parents. There were no disclosures made from the 4 parents interviewed. LPA did not receive a return call from the 4 parents.

During the observation on 7/13/23 and 8/17/23, LPA inspected the kitchen and did not observe spoiled/rotten fruits.

Based on interviews conducted, the complaint alleging staff did not provide adequate food service is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 9
Control Number 06-CC-20230710083859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TEMPLE BETH DAVID PRE SCHOOL
FACILITY NUMBER: 300601652
VISIT DATE: 08/17/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 4

An exit interview conducted with director. Appeal Rights were explained. The Director was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.

The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The Notice of Site Visit must be posted on or adjacent to the door.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
LIC9099 (FAS) - (06/04)
Page: 7 of 9