304370537-7-21-2023-06-CC-THOO-CU4STE-20230726140925

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370537
Report Date: 07/21/2023
Date Signed: 07/21/2023 03:03:52 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
04/24/2023 and conducted by Evaluator Dianna ValdezSantana

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20230424154616

FACILITY NAME:	HOLY FAMILY CATHEDRAL PRESCHOOL		FACILITY NUMBER:	304370537
ADMINISTRATOR:	DEUSENBERRY, JANET		FACILITY TYPE:	850
ADDRESS:	530 SOUTH GLASSELL		TELEPHONE:	(714) 538-6012
CITY:	ORANGE	STATE: CA	ZIP CODE:	92866
CAPACITY:	28	CENSUS: 0	DATE:	07/21/2023
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Director, Erin Custer		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Facility does not have a director who meets qualifications.

INVESTIGATION FINDINGS:

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On 07/21/2023 Licensing Program Analyst (LPA) Dianna Valdez Santana made an unannounced visit to Holy Family Cathedral Preschool for the purpose to deliver findings of a complaint received. Upon arrival, LPA was met by Director, Erin Custer. Director was explained the reason for today’s visit. LPA was provided a tour of the facility and observed 1 Preschool Staff and 0 preschool children present.
A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 04/24/2023 a complaint was filed with the Licensing office stating Facility does not have a director who meets qualifications.
Reporting Party (RP) stated, the old facility director left in February or March 2023 and the facility has not found a new director yet. The person who has been acting as director for more than 30 consecutive calendar days, does not meet the qualifications of a director.
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Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

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-20230424154616

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: HOLY FAMILY CATHEDRAL PRESCHOOL	FACILITY NUMBER: 304370537
	VISIT DATE: 07/21/2023

NARRATIVE

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During the course of investigation, LPA interviewed 7 staff members, and 4 parents.
During the staff interview, Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Staff 4 (S4), and Staff 6 (S6) stated the previous Director’s last day was March 3, 2023. Staff 5 (S5) and staff 7 (S7) stated the previous Director’s last day was sometime in March. S1 disclosed stepping up as director while the administration was looking for a permanent director. From March 3, 2023- May 1, 2023, S1 acted as interim director alongside the administration until S2 returned from leave to assume Director position. LPA Valdez Santana reviewed S1’s qualifications and S1 did not have the qualifications to act as director. All 7 staff did not know if the administration submitted a director packet to Licensing office. 5 of 7 staff stated S1 stepped in as interim director after the previous director left in March 2023 until S2 was hired on as Director but was on leave until May.

The school administration failed to have a qualified Director for the preschool program after the director left for more than 30 days.

4 of 6 parents were interviewed, parents had no issues or concerns with the daycare.

Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101215.1(f)(1) Child Care Center Directors Qualifications and Duties is being cited on the attached LIC 9099D. Please refer to attached 9099D for documentation of deficiencies.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20230424154616

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: HOLY FAMILY CATHEDRAL PRESCHOOL	FACILITY NUMBER: 304370537
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/21/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/21/2023 Section Cited CCR 101215.1(f)(1)	1 2 3 4 5 6 7	Child Care Center Directors Qualifications and Duties: (1) If the child care center director is absent for more than 30 consecutive calendar days, the substitute director shall meet the qualifications of a director. This requirement is not met as evidence by: Based on LPA’s interviews, 5 of 7 staff members stated the previous Director’s last day was 3/3/23.	1 2 3 4 5 6 7	New Director submitted a complete DIrector packet to LPA Valdez Santana on 05/07/23.
	8 9 10 11 12 13 14	S1 stepped in as interim director from 3/3/23 until the end of 4/2023. The new Director returned from leave 5/1/23. LPA reviewed S1’s file and S1 did not have the qualifications to act as Interim Director. This poses a potential risk to the safety 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: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC9099 (FAS) - (06/04)

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