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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300603522
Report Date: 04/21/2023
Date Signed: 04/21/2023 05:27:06 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, 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
04/14/2023 and conducted by Evaluator Pat Rivas
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230414114302
FACILITY NAME:GRACE HARBOR CHURCH AND SCHOOLFACILITY NUMBER:
300603522
ADMINISTRATOR:REBEKAH BAYFACILITY TYPE:
850
ADDRESS:12881 NEWPORT AVENUETELEPHONE:
(714) 544-4431
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:78CENSUS: 8DATE:
04/21/2023
UNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Daniele Dizdul, Office Adm & Rebekah Bay, DirectorTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Facility is operating out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst, (LPA) P Rivas conducted an unannounced complaint visit to investigate the above allegation.

Upon entrance LPA met with Daniele Dizdul, Off. Adm and advised of reason for visit and conducted a tour of the facility. At 7:30 am Census was 8 children in with 2 teachers present.

A review of the Facility Personnel Report Summary on 04/21/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During today's visit LPA interviewed 5 staff, reviewed pro car app for attendance on 04/14/23, interviewed 3 out of 5 parents contacted.
Unsubstantiated
Estimated Days of Completion: 60L
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023
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 2
Control Number 06-CC-20230414114302
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: 04/21/2023
NARRATIVE
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On 04/14/23 The Regional Office Received a complaint alleging that the facility was out of ratio . Specifically during closing one staff#1(S1) was left with 16 children. The review of records, pro care application indicated at 4:00pm there were 36 children present and 3 teachers present. At 4:30pm there were 28 children present and 3 teachers. Interview with all 5 staff indicated they have not been out of ratio. LPA was unable to interview S1 as s/he is no longer working at the facility. All staff interviewed were consistent in terms of supervision procedure for closing. LPA was advised that from 3:15 to 3:30pm all classrooms are on outside playground (weather permitting) and all teachers are outside providing care and supervision. Teachers begin to leave at 4:00pm, but if need be teachers stay until ratios can be met. LPA was advised that staff use a white board and walkie talkies to communicate counts and person who stands by the white board double checks count against the pro care application. If close to reaching ratio staff signal a breaker or another staff. Last person on the yard goes into classroom once they are in ratio, usually by 5:00pm.
LPA interviewed 3 parents, 3 out of 3 parents interviewed did not divulge any concerns with ratios.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with director Bay. 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.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2