304370175-5-24-2021-06-CC-RLOZ-C3ZL2C-20210615082205

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370175
Report Date: 05/24/2021
Date Signed: 05/24/2021 04:57:57 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/23/2021 and conducted by Evaluator Eileen Corral

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210323145736

FACILITY NAME:	LA HABRA HERITAGE SCHOOL		FACILITY NUMBER:	304370175
ADMINISTRATOR:	WIJEGUNARATNE, DEEPIKA		FACILITY TYPE:	830
ADDRESS:	323 NORTH EUCLID STREET		TELEPHONE:	(562) 691-1967
CITY:	LA HABRA	STATE: CA	ZIP CODE:	90631
CAPACITY:	12	CENSUS: 4	DATE:	05/24/2021
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Director Deepika Wijegunaratne		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility is operating out of ratio

INVESTIGATION FINDINGS:

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Tele-Investigation COVID-19 State of Emergency

Licensing Program Analyst (LPA) Corral conducted a complaint investigation with Director Deepika Wijegunaratne in response to a complaint received on 03/23/2021 regarding the facility operating out of ratio. This is a continuation of the investigation initiated on 04/02/2021. LPA Corral informed Director that due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing a tele-investigation would be conducted. The COVID-19 Emergency Response questionnaire was reviewed and answered by Director.

During the Tele-Inspection LPA Corral conducted a walk-through of the Infant Room. Director stated there were 4 infants present in care and 1 teacher providing care. A review of the Facility Personnel Report Summary conducted on 05/24/2021 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Continue to Page 2.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Eileen Corral
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20210323145736

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LA HABRA HERITAGE SCHOOL	FACILITY NUMBER: 304370175
	VISIT DATE: 05/24/2021

NARRATIVE

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The Complaint received on 03/23/2021 alleged that the facility was operating out of ratio. During the Initial 10 Day Tele-Inspection, LPA Corral requested a Copy of the Children’s Roster, along with sign-in and sign-out sheets. On 04/07/2021 Director emailed LPA Corral infant sign-in and sign-out sheets from 03/15/2021 – 03/26/2021. The documents received show 5 infants being signed in four out of the ten days reviewed. The dates where 5 infants were signed in were from Monday, 03/15/2021 – Thursday, 03/18/2021. LPA Corral conducted Staff Interviews on 04/02/2021 and 04/21/2021. During the interviews 2 Staff members disclosed that they observed 5 infants present in the infant room in March 2021, one Staff member stated 5 infants were present in care for 1 to 2 weeks in March 2021. The other staff stated the infant room was over ratio the last weeks of March 2021. Director Deepika also provided LPA Corral with a Correction Letter stating that the infant to teacher ratio issue was corrected to follow the Child Care Regulation of four infants to one teacher.

Based on the Record Review LPA Corral conducted and the information that was obtained from the interviews with the 2 Staff members, LPA Corral was able to confirm that the Facility was out ratio in the Infant Room, the preponderance of evidence standard has been met, therefore the allegation regarding the facility operating out of ratio is found to be Substantiated. This constitutes a violation of operation of Title 22, California Code of Regulations, 101416.5(b) Staff-Infant Ratio, which states there shall be a ratio of one teacher for every four infants in attendance. This allegation is being cited on the attached LIC9099D.

A Type A violation is being cited today therefore the facility must post and provide copies of the report to Parents/Guardians of the children in care by the next business day. Facility shall also provide a copy of the Report to the Parents/Guardians of children newly enrolled in the facility for the next 12 months. The facility is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. In addition, the facility shall immediately post upon receipt the Proof of Correction for 30 consecutive days. LPA Corral reviewed Staff Infant Ratio Title 22 Regulation with Director and advised Director to review these Regulations with Staff.

Exit interview was conducted and report was read to Director Deepika Wijegunaratne via Tele-Inspection. A copy of the Investigation Report along with Appeal Rights will be email to Director with a Read Receipt requested to acknowledge report was received. Director was asked to respond to email by copying and pasting “I have read and received the Report and Appeal Rights, I acknowledge receipt." Appeal Rights were explained. Licensee was informed first level of appeal is directed to Regional Manager to the address listed above. Notice of Site Visit was not posted due to Tele-Investigation COVID-19 State of Emergency.
End of Report.

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Eileen Corral
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20210323145736

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LA HABRA HERITAGE SCHOOL	FACILITY NUMBER: 304370175
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/24/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/24/2021 Section Cited CCR 101416.5(b)	1 2 3 4 5 6 7	101416.5 - Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Director stated she is aware of Infant Ratio and will follow regulation of 4 infants to 1 teacher. Director provided Staff training regarding Infant Teacher Ratio, sign in sheet was emailed to LPA.
	8 9 10 11 12 13 14	Based on LPA Corral record review, sign in and sign out sheets show 5 infants in care from 03/15/2021 – 03/18/2021. Two staff members also stated Infant Ratio was over capacity in March 2021. This poses an immediate Health and Safety risk to 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: Rina Lopez
LICENSING EVALUATOR NAME: Eileen Corral
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021

LIC9099 (FAS) - (06/04)

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