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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300610675
Report Date: 04/19/2024
Date Signed: 04/19/2024 12:28:50 PM

Unsubstantiated


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
01/23/2024 and conducted by Evaluator Romelia M Castanon
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240123124203
FACILITY NAME:CAPISTRANO USD/SAN JUAN STATE PRESCHOOLFACILITY NUMBER:
300610675
ADMINISTRATOR:ARGENT, HEIDIFACILITY TYPE:
850
ADDRESS:31642 EL CAMINO REAL, #3TELEPHONE:
(949) 493-4533
CITY:SAN JUAN CAPISTRANOSTATE: CAZIP CODE:
92675
CAPACITY:48CENSUS: 23DATE:
04/19/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Principal/On Site Asministrator Guadalupe ManzanillaTIME COMPLETED:
10:59 AM
ALLEGATION(S):
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Staff handled daycare children in a rough manner
INVESTIGATION FINDINGS:
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On 04/19/2024, Licensing Program Analyst (LPA) Romy Castanon made an unannounced visit to the facility to deliver findings of a complaint that was received at the Orange County Regional Child Care Program Office. LPA met with Principal/On Site Administrator Guadalupe Manzanilla and explained the reason for today’s visit. Director/Off Site Administrator Lauren Pattulo joined via telephone conference call. Observed at the time of the visit was a total of 23 children and four (4) staff.
A review of the Facility Personnel Report Summary on 04/19/2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 01/23/2024, the Regional Office received a complaint report alleging staff handled daycare children in a rough manner. Complaint report stated that Staff #1 (S1) grab Child #1 (C1) by their wrist, lifting them off the ground and sat them down. On 02/06/2024, during an interview with the Reporting Party (RP), they stated on 01/22/2024 they were in the morning drop-off area standing behind Adult #1 (A1) and C1. RP stated C1 was visibly upset and having a rough morning. C1 was observed crying and refusing to leave the side of A1. RP stated they observed S1 grab C1 between their hand and elbow and forcefully pulled C1 to sit in line with the other children. (Continue to page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
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-20240123124203
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: CAPISTRANO USD/SAN JUAN STATE PRESCHOOL
FACILITY NUMBER: 300610675
VISIT DATE: 04/19/2024
NARRATIVE
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Page 2

LPA conducted a visit on 01/29/2024 and interviewed five (5) staff including S1. During the interview with staff, 4 out of 5 staff were able to describe the personal rights of a child. 3 out of 5 staff informed LPA that they were not within line of site during the incident or did not personally witness the incident.

During the interview with S1, they denied forcefully grabbing C1. S1 mentioned that A1 was not usually the person that drops off C1 at school. S1 stated A1 asked them for assistance in prying C1’s arms off A1’s legs. S1 stated they took C1 by the wrist and guided them from behind A1.

On 01/29/2024, LPA interviewed four (4) children, but two (2) children were not qualified. The children did not disclose any pertinent information regarding the allegation of this complaint.

LPA interviewed four (4) parents, but two (2) parents were unavailable. Parents did not disclose any pertinent information regarding the allegation of this complaint.

On 03/26/2024, LPA interviewed A1. A1 stated they did not feel C1 was handled in a rough manner by S1. A1 stated C1 was refusing to get in line with the children. A1 stated there was another staff member who assisted S1 in lifting C1 by each arm, but they do not know their name.

Based on LPA’s interviews, the allegation staff handled daycare children in a rough manner may have happened or valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted with Principal/On Site Administrator Guadalupe Manzanilla. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. The Facility Representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

End of Report

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2