300603522-1-24-2023-06-CC-PMAA-CNF4K6-20230125180945

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300603522
Report Date: 01/24/2023
Date Signed: 01/24/2023 10:35:42 AM

Unsubstantiated

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
10/27/2022 and conducted by Evaluator Stella Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20221027094134

FACILITY NAME:	GRACE HARBOR CHURCH AND SCHOOL		FACILITY NUMBER:	300603522
ADMINISTRATOR:	REBEKAH BAY		FACILITY TYPE:	850
ADDRESS:	12881 NEWPORT AVENUE		TELEPHONE:	(714) 544-4431
CITY:	TUSTIN	STATE: CA	ZIP CODE:	92780
CAPACITY:	78	CENSUS: 40	DATE:	01/24/2023
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Rebekah Bay, Director		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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Personal Rights- The facility staff are not disinfecting portable potty after each use of the children in the preschool classroom 2's.

INVESTIGATION FINDINGS:

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On 01/24/2023 Licensing Program Analyst (LPA), Stella Gutierrez made an unannounced visit to the facility for the purpose of delivering findings of complaint received on 10/27/2022. LPA was met by Rebekah Bay who was explained the reason for today’s visit. Census taken today, LPA observed 07 preschool staff and 40 preschool children in care.
A review of the Facility Personnel Report Summary conducted on 01/24/2023 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 10/27/2022 a complaint was received alleging the allegation of Personal Rights- that the staff did not sterilize or change the bag in the portable potty between the 3 children’s uses.. The reporting party stated that they witnessed a staff member (Name not provided) have 3 children use the portable potty in the 2’s classroom and not disinfect or change the bag after each use.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20221027094134

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: GRACE HARBOR CHURCH AND SCHOOL	FACILITY NUMBER: 300603522
	VISIT DATE: 01/24/2023

NARRATIVE

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On 11/3/2022 LPA observed the portable potty to be clean and placed in top shelf and not in use during the inspection.
On 11/03/2023 LPA interviewed 07 staff while investigating the alleged allegation. Staff #3 stated they do not use the portable potty often but occasionally during nap time and they have bags in each one that is replaced each time. Staff #5 stated that the portable potty is used only during nap time or if a staff if by themselves.
On 01/23/2023 LPA conducted 02 follow up interviews with director and S2. The director stated that the portable potty is only for emergency purposes and has never witnessed a staff not sterilizing the potty if needed after each use. Staff #2 stated that the portable potty is not used regularly and it’s only for emergency purposes. On 01/23/2023 and 01/24/2023 LPA observed the portable potty in each classroom (2s and 3s) to be clean during today’s tour. Disinfectant wipes and bags that are made available after each use if needed were also observed.

Based on LPAs observation and statements provided by the director and Staff interviewed, the allegation referenced on this report is deemed unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

Exit interview conducted and report was reviewed with the Director, Rebekah Bay. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) 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.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2023

LIC9099 (FAS) - (06/04)

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