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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300604497
Report Date: 08/10/2022
Date Signed: 08/10/2022 12:24:31 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 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
08/08/2022 and conducted by Evaluator Dean Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220808143411
FACILITY NAME:CHRIST LUTHERAN PRESCHOOLFACILITY NUMBER:
300604497
ADMINISTRATOR:LISA HOLLOWAYFACILITY TYPE:
850
ADDRESS:760 VICTORIA STREETTELEPHONE:
(949) 631-1639
CITY:COSTA MESASTATE: CAZIP CODE:
92627
CAPACITY:134CENSUS: 0DATE:
08/10/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lisa HollowayTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff maintain animals in the childcare that are illegal in California
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/10/22 Licensing Program Analyst (LPA) Dean Thompson conducted an unannounced complaint investigation visit regarding the allegation stated above. LPA Thompson met with facility representative Lisa Holloway. LPA and facility representative toured the facility inside and outside, and the floor and yard plan (LIC 999) were verified. At the time of the inspection, there were no children in care. Facility hours are 6.30 AM - 6:30 PM, Monday through Friday.

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

A complaint was received on 08/08/2022, the complainant stated staff maintain animals in the childcare that are illegal in California.

Continued on page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
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 06-CC-20220808143411
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CHRIST LUTHERAN PRESCHOOL
FACILITY NUMBER: 300604497
VISIT DATE: 08/10/2022
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
During the investigation, LPA Thompson interviewed facility representative Lisa Holloway. Lisa stated she currently has two ferrets inside her office that are rescues from Arizona. When ask if she had a current permit for the ferrets, Lisa Stated "no i do not." LPA observed two ferrets inside the office of the facility representative. Lisa mentioned children interacted with the ferrets through the fence when outside on the play yard maybe twice this past school year.

Based on LPA observation of two ferrets inside the office and interview with facility representative Lisa Holloway on 08/10/22, stating she does not have permits for the ferrets. The preponderance of evidence standard has been met, therefore the above allegation, staff maintain animals in the childcare that are illegal in California is found to be substantiated. California Code of Regulations, Title 22, Division 12 & Chapter 1, Section 101151(b) is being cited on the attached LIC 9099D.

Notice of Site Visit
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.

Exit interview conducted and report was reviewed with facility representative Lisa Holloway. Appeal Rights were explained, facility representative was provided a copy of her Appeal Rights and signature on this form acknowledges receipt of these rights. facility representative was informed all appeals must be in writing and received by the Regional Office within 15 business days.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20220808143411
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: CHRIST LUTHERAN PRESCHOOL
FACILITY NUMBER: 300604497
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/10/2022
Section Cited
CCR
101151(b)
1
2
3
4
5
6
7
General
(b) The licensee shall ensure compliance with all applicable laws and regulations. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Facility representative agreed to remove the ferrets from the Christ Lutheran Preschool on 8/10/2022.
8
9
10
11
12
13
14
Based on LPA observation of two ferrets inside the office and interview with facility representative Lisa Holloway on 08/10/22 stating she does not have permits for the ferrets.
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: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3