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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330908954
Report Date: 02/17/2022
Date Signed: 02/17/2022 03:03:27 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/10/2022 and conducted by Evaluator Anastasia Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220210155012
FACILITY NAME:COMMUNITY CHRISTIAN PRESCHOOLFACILITY NUMBER:
330908954
ADMINISTRATOR:LISA SWENSONFACILITY TYPE:
850
ADDRESS:41762 STETSON AVENUETELEPHONE:
(951) 925-7368
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:90CENSUS: 11DATE:
02/17/2022
UNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Lisa SwensonTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Facility is not following COVID-19 protocols
INVESTIGATION FINDINGS:
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On February 16, 2022 at 1:31 PM, Licensing Program Analyst’s (LPA’s) Anastasia Flores, Linda Almaraz and Jeanette Sanchez arrived at the facility for the purpose of initiating a complaint investigation regarding the above-mentioned allegation. LPA’s met with theDirector, Lisa Swenson and informed licensee of the purpose for the visit.

During this visit, LPA’s toured the facility and took census. LPA’s observed that during this time, the center was operating within ratio and classrooms were adequately staffed. LPA’s observed there to be 11 children and four staff without masks. LPA’s informed Ms. Swenson the guidelines of the state mandate for face coverings for licensed facilities.

Ms. Swenson informed LPA’s the facility has not and will not comply with the state guidelines for face coverings. The preponderance of evidence standard has been met, therefore. the above allegation is substantiated.
(continued on next page)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
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 10-CC-20220210155012
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: COMMUNITY CHRISTIAN PRESCHOOL
FACILITY NUMBER: 330908954
VISIT DATE: 02/17/2022
NARRATIVE
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An exit interview was conducted, and a copy of this report, 9009D and appeal rights was provided to Lisa Swenson on 2/17/2022. The report must be available for review upon request for the next three years.
Ms. Swenson was handed the guidelines for the face coverings for children and staff in a licensed facility.


A Notice of Site Visit was issued, and LPA’s verified that it was posted in a prominent location at the facility before leaving. The Licensee understands that it must remain posted for the next 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20220210155012
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: COMMUNITY CHRISTIAN PRESCHOOL
FACILITY NUMBER: 330908954
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/18/2022
Section Cited
CCR
101223(a)(2)
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101223(a)(2) Personal Rights; the licensee shall ensure that each child is accorded the following personal rights. To accorded safe, healthful and comfortable accomodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by...
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Ms. Swenson has stated the licensed facility is not going to comply with the state madate guidelines for COVID-19 requiring face coverings.
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Based on LPA’s observations and interviews conducted, LPA’s observed there to be 11 children and four staff without face coverings. LPA’s informed Ms. Swanson the guidelines of the state mandate for face coverings for licensed facilities. Ms. Swanson informed LPA’s the facility was not going to comply with the recommendations for face coverings.
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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: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3