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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270907
Report Date: 01/08/2024
Date Signed: 01/08/2024 02:50:28 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
10/17/2023 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20231017095640
FACILITY NAME:HILLSBOROUGH PRIVATE SCHOOLFACILITY NUMBER:
304270907
ADMINISTRATOR:POWERS, LAURENFACILITY TYPE:
850
ADDRESS:4757 VALLEY VIEWTELEPHONE:
(714) 572-5696
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:97CENSUS: 27DATE:
01/08/2024
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Director Amy HalitTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Licensee does not ensure the facility is free from pests.
INVESTIGATION FINDINGS:
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On 1/8/2024, at 1:15pm Licensing Program Analyst (LPA) Anna Chan conducted an unannounced Complaint investigation inspection. This is a continuation of the investigation initiated on 10/24/2023. Upon arrival, the LPA met with staff, Lupe Garcia. LPA informed staff of the purpose of visit. LPA was led on walk through of the facility by the staff and a census was taken. LPA observed 3 staff and 27 preschool children napping. Director, Amy Halit arrived at 1:50pm.

The Department received a complaint on 10/17/2023 alleging licensee does not ensure the facility is free from pests.

Reporting Party (RP) stated that licensee does not ensure the facility is free from mosquitos and children are being bitten. RP also stated that there are spiders and spider webs in the outdoor play area.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2024
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-20231017095640
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: HILLSBOROUGH PRIVATE SCHOOL
FACILITY NUMBER: 304270907
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/08/2024
Section Cited
CCR
101238(a)(1)
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Buildings and Grounds: (a) The child care center shall be clean, safe, sanitary.. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.
This requirement is not met as evidenced by:
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Director stated that the facility has reminded parents to spray insect repellent to children prior to attending school. In the future, the facility will have parents sign the prevention document. A copy of the document will be sent to LPA by due date of 2/8/24.

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Based on LPA’s observation and interview, the facility has flies and other insects in the area.

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 Director also stated that facility conducted a pest control training with staff and knowing preventative measures to avoid attracting insects esp mosquitos. A copy of the document will be sent to LPA by due date of 2/8/24.
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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: Judy Hanson
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20231017095640
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: HILLSBOROUGH PRIVATE SCHOOL
FACILITY NUMBER: 304270907
VISIT DATE: 01/08/2024
NARRATIVE
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LPA interviewed six (6) staff at the facility. All staff consistently stated that the allegations did happen, and children are getting bitten by mosquitos.

LPA interviewed children, one child stated they have seen spiders in the playground and on the wall in the classroom. Other children did not disclose any information that could support the allegations.

None of the five parents interviewed disclosed any information that could support the allegations.

The facility provided LPA with pest control invoices. Based on the invoices, it shows that the pest control company does a monthly visit to the facility but only “targets ants, rodents and spiders" but not mosquitos. Pest control confirmed that they do not service for mosquitos but offers buckets that traps mosquitos. Based on an interview with the facility representative, the facility opt not to use harmful chemicals to spray in the facility.

LPA observed the spiders in the outdoor activity space like the play structure and in the garden area with bugs flying around the spider web which is hanging above an umbrella structure.

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

An exit interview was conducted with Director Amy Halit. The Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First-level appeals should be sent to the regional manager to the address listed above.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2024
LIC9099 (FAS) - (06/04)
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