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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371501
Report Date: 10/09/2024
Date Signed: 10/09/2024 12:01:15 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
10/03/2024 and conducted by Evaluator Nguyen K Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20241003104452
FACILITY NAME:MESA VERDE PRESCHOOL & INFANT CENTERFACILITY NUMBER:
304371501
ADMINISTRATOR:GUERRERO, CHRISTINAFACILITY TYPE:
850
ADDRESS:3013 DEODAR AVENUETELEPHONE:
(714) 513-1686
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY:42CENSUS: 23DATE:
10/09/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Christina Guerrero, DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff interacted inappropriate with children.
INVESTIGATION FINDINGS:
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On 10/09/2024, Licensing Program Analyst (LPA) Tran conducted a 10-Days Initial investigation regarding the allegation about staff interacted inappropriate with children, and delivered finding. LPA Tran met with Director Christina Guerrero. A tour of the facility was conducted, and census was taken. Observed at the time of the investigation was a total of 13 preschool children with 2 staff in the preschool classroom, 6 preschool children with 1 staff in the playground and 4 toddlers with 1 staff in the Toddler's room. LPA informed the Director the purpose of the visit.

A review of the Facility Personnel Report Summary on 10/09/2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 10/03/2024, Regional Office received a complaint regarding staff interacted inappropriate with children.
(Continue next page)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
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-20241003104452
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: MESA VERDE PRESCHOOL & INFANT CENTER
FACILITY NUMBER: 304371501
VISIT DATE: 10/09/2024
NARRATIVE
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(Page 2 of Report)

During the investigation, LPA interviewed two staff members and obtained training document at the facility.

During interviews, both interviewed staff members confirmed that the inappropriate interactions occurred, and clarified that the interactions occurred in a playful way. Both staff denied any observed injury nor have heard any complaint about any child being hurt resulting from the interactions. Director admitted that the interactions were reviewed and determined as inappropriate and Director had conducted a meeting with facility staff to discuss and correct staff's behaviors as soon as the concerns were brought to Director's attention.

During record review, LPA reviewed record of staff's retraining on appropriate teacher-child interactions and personal rights conducted by Director.

Based on information gathered from LPA's interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegation about staff interacted inappropriate with children, is found to be substantiated. California Code of Regulations, Title 22, Division 12 & Chapter 1, Section 101223(c) Personal Rights cited on the attached LIC9099D.

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 Christina Guerrero.

(End of Report)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20241003104452
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: MESA VERDE PRESCHOOL & INFANT CENTER
FACILITY NUMBER: 304371501
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/09/2024
Section Cited
CCR
101223(c)
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101223 Personal Rights (c) The licensee shall ensure that each child is accorded the personal rights... This requirement is not met evidenced by:
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Director submitted retraining documents on appropriate teacher-child interactions and personal rights to LPA by due date.
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Based on interviews and record reviews, both interviewed staff confimred that the inappropriate playful interactions occurred, which poses a potential risk to the health, safety and personal rights of the children in care.
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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: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3