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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270714
Report Date: 09/25/2024
Date Signed: 09/25/2024 12:09:01 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
09/23/2024 and conducted by Evaluator Nguyen K Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240923115340
FACILITY NAME:TEMPLE BETH EL OF SOUTH ORANGE COUNTYFACILITY NUMBER:
304270714
ADMINISTRATOR:NGUYEN, MELISSAFACILITY TYPE:
850
ADDRESS:2A LIBERTYTELEPHONE:
(949) 362-3999
CITY:ALISO VIEJOSTATE: CAZIP CODE:
92656
CAPACITY:62CENSUS: 9DATE:
09/25/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Melissa Nguyen, DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Uncleared staff(s) providing care and supervision to daycare children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/25/2024, Licensing Program Analyst (LPA) Tran conducted a 10-day initial investigation and delivered findings regarding the allegation about Uncleared staff(s) providing care and supervision to daycare children. LPA Tran met with Director Melissa Nguyen. A tour of the facility was conducted, and a census was taken. Observed at the time of the investigation was a total of 19 preschool children and 5 staff members in 3 classrooms. LPA informed the Director purpose of the visit.

A review of the Facility Personnel Report Summary on 09/25/2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 09/23/2024, the Regional Office received a complaint with allegation alleging Uncleared staff(s) providing care and supervision to daycare children.
(Continued next page)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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 3
Control Number 06-CC-20240923115340
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: TEMPLE BETH EL OF SOUTH ORANGE COUNTY
FACILITY NUMBER: 304270714
VISIT DATE: 09/25/2024
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
(Page 2 of Report)

During the investigation, LPA Tran conducted interview with facility's Director, reviewed staff records and information regarding criminal record clearances on the Guardian Background Check System.

During the interview, Director confirmed that Staff #1 (S1) was hired to work at the facility from 09/04/2024 to 09/23/2024. Director stated that S1 has provided a criminal record clearance number to the facility upon hired, however, Director was not aware that S1 did not complete all required process to receive criminal record clearance and exemptions. Director stated the facility terminated S1's employment when Director was informed by Regional Office that S1's criminal record clearance was not granted and was on "Pending" status.

During record review, LPA Tran verified that S1 has not received criminal record clearance or exemption and the status for S1 was "In Process" on the Guardian Background Check System.

Based on information gathered from interview and record reviews, the preponderance of evidence standard has been met, therefore the allegation Uncleared staff(s) providing care and supervision to daycare children, are found to be SUBSTANTIATED. California Health and Safety Code, Section 1596.871(c)(1)(A) Administration of Child Care Licensing was cited on the attached LIC 9099D. An immediate civil penalty was assessed.

Due to the Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day, and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00
Appeal Rights and deficiency 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. Exit interview conducted and report was reviewed with Director Melissa Nguyen. (End of Report)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20240923115340
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: TEMPLE BETH EL OF SOUTH ORANGE COUNTY
FACILITY NUMBER: 304270714
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/25/2024
Section Cited
HSC
1596.871(c)(1)(A)
1
2
3
4
5
6
7
1596.871 Fingerprints and criminal record...(c) (1) (A)... a person...(b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption... prior to employment, ...in the facility.
This requirement is not met evidenced by:
1
2
3
4
5
6
7
Director stated Staff #1 was immediately sent home on 09/23/2024 and will not be allowed back to the facility until Staff #1 has received criminal record clearance or exemption.
8
9
10
11
12
13
14
Based on interview and record reviews, Director confirmed Staff #1 worked at facility from 09/04/24-09/23/24 and records showed that Staff #1 has not received criminal record clearances or an exemtion, which posed an immediate risk to the health, safety and personal rights of the children in care.
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: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3