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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300603522
Report Date: 07/15/2025
Date Signed: 07/15/2025 01:14:20 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
05/27/2025 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250527164535
FACILITY NAME:GRACE HARBOR CHURCH AND SCHOOLFACILITY NUMBER:
300603522
ADMINISTRATOR:ESTEP, CYNTHIAFACILITY TYPE:
850
ADDRESS:12881 NEWPORT AVENUETELEPHONE:
(714) 544-4431
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:78CENSUS: 31DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Church Admin Rosani Barbosa-WelchTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Facility staff wake up sleeping children and would allow other children to wake up other sleeping children.
INVESTIGATION FINDINGS:
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On 07/15/25, Licensing Program Analyst (LPA), Anna Chan, conducted an investigation to deliver findings regardinga complaint which was initiated on 06/04/25. LPA met with Church Admin Rosani Barbosa-Welch and was led on a tour of the facility. There were 31 preschool children and 4 staff.

The Orange County Regional Office received a complaint on 05/27/25 alleging facility staff wake up sleeping children and would allow other children to wake up other sleeping children.

Based on staff interview, staff 5 (S5) stated that another staff would let children wake up the other children during nap. S5 stated when they found out about what happened, they immediately told staff to stop children from doing so.

Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
05/27/2025 and conducted by Evaluator Anna Francesca Chan
COMPLAINT CONTROL NUMBER: 06-CC-20250527164535

FACILITY NAME:GRACE HARBOR CHURCH AND SCHOOLFACILITY NUMBER:
300603522
ADMINISTRATOR:ESTEP, CYNTHIAFACILITY TYPE:
850
ADDRESS:12881 NEWPORT AVENUETELEPHONE:
(714) 544-4431
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:78CENSUS: 31DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Church Admin Rosani Barbosa-WelchTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Facility did not prevent child from having access to pills.
INVESTIGATION FINDINGS:
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5
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13
On 07/15/25, Licensing Program Analyst (LPA), Anna Chan, conducted an investigation to deliver findings regarding a complaint which was initiated on 06/04/25. LPA met with Church Admin Rosani Barbosa-Welch and was led on a tour of the facility. There were 31 preschool children and 4 staff.

The Orange County Regional Office received a complaint on 05/27/25 alleging Facility did not prevent child from having access to pills.

Based on staff interview, staff stated they do not bring any medication in the facility and have not seen medications on the ground. Staff stated they do check the facility grounds and constantly look around to ensure safety of the children.

Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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 5
Control Number 06-CC-20250527164535
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: GRACE HARBOR CHURCH AND SCHOOL
FACILITY NUMBER: 300603522
VISIT DATE: 07/15/2025
NARRATIVE
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LPA interviewed children at the facility. None of the children interviewed disclosed information that could support the allegation

LPA called parents, none of the parents interviewed disclosed information that could support the allegation.

LPA did not observe medications that are accessible to children in care.

Based on interviews conducted and observation, although the allegation may or may not have happened, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED.

No deficiencies cited.



Exit interview was conducted and report was reviewed with Church Admin Rosani Barbosa-Welch. The Notice of Site Visit was posted and must be posted for 30 consecutive days.

Page 2 of 2

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 06-CC-20250527164535
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: GRACE HARBOR CHURCH AND SCHOOL
FACILITY NUMBER: 300603522
VISIT DATE: 07/15/2025
NARRATIVE
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LPA interviewed children at the facility. None of the children interviewed disclosed information that could support the allegation

LPA called parents, none of the parents interviewed disclosed information that could support the allegation.

Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A substantiated finding means that the allegation is valid and the preponderance of the evidence standard has been met. See LIC9099D for Type B deficiency cited.

Exit interview was conducted and report was reviewed with Church Admin Rosani Barbosa-Welch. The Notice of Site Visit was posted and must be posted for 30 consecutive days.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 06-CC-20250527164535
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: GRACE HARBOR CHURCH AND SCHOOL
FACILITY NUMBER: 300603522
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/15/2025
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (3) ...interference with functions of daily living including eating, sleeping...
This requirement was not met as evidenced by:
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Ms Rosani stated they will provide the staff write up or warning to LPA.
Facility will conduct a training with staff regarding personal rights and stated they will provide a copy of signed document of training agenda to LPA by due date of 8/15/25
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Based on staff interview, staff 5 (S5) stated that another staff would let children wake up the other children during nap.

This poses a potential risk to health and safety of children in care
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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: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5