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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334812640
Report Date: 11/23/2021
Date Signed: 11/23/2021 02:05:45 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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/18/2021 and conducted by Evaluator Blanca Ruiz-Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20211118144522
FACILITY NAME:MAGNOLIA PRESCHOOL AND KINDERGARTENFACILITY NUMBER:
334812640
ADMINISTRATOR:ARLIDA ESPINOZAFACILITY TYPE:
850
ADDRESS:13130 MAGNOLIA AVENUETELEPHONE:
(951) 272-0977
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:104CENSUS: 46DATE:
11/23/2021
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Arlida EspinozaTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff not properly cleaning dishes.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Blanca Ruiz arrived at the facility to conduct an inspection regarding a complaint received concerning the above allegation. LPA met with Director, Arlida Espinoza and stated the purpose of today's inspection. The center was toured, and census was taken. LPA conducted interviews with staff present at the facility, records were reviewed and additional interviews with pertinent parties as well as documents relevant to the investigation were obtained.

It was alleged that facility staff is not properly cleaning dishes at the facility. During this inspection observation regarding the allegation were conducted in the kitchen and the classrooms.

LPA investigated the above allegation and gathered the following information: On or about the second week of November, child’s authorized representative arrived to pick the child up around 2:30 p.m. Upon arriving home, he/she noticed the child’s sippy cup was not washed out properly prior to giving child other liquids during the day at the facility. Child ingesting spoiled milk water down during the day in question.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021
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 09-CC-20211118144522
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MAGNOLIA PRESCHOOL AND KINDERGARTEN
FACILITY NUMBER: 334812640
VISIT DATE: 11/23/2021
NARRATIVE
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Child’s authorized representative called the facility and spoke with the director regarding this matter and drove back to the facility to show her the Sippy cup with spoiled milk. Director reported that facility allow all children authorized representative to bring their own Sippy cup in the morning with milk, juice or water and staff are responsible for cleaning the cups properly before pouring water on them. Per staff’s own admission the day in question he/she was busy and he/she open the Sippy cup to pour water but he/she did not pay close attention and noticed that it had milk from early morning until it was brought to his/her attention by the director after the incident occurred. Child is no longer attending the facility.

After conducting interviews with pertinent parties, LPA Ruiz was able to gather enough information that states the alleged incident occurred. Director acknowledged the incident and understood that facility is responsible for provided clean Sippy cups free of contaminated water. Based on information obtained from pertinent parties, records, and staff self-admission, the allegation above is therefore Substantiated. See LIC9099 D for deficiencies cited per California Code of Regulations Title 22, Division 12.

An exit interview was conducted with Ms. Arlida Espinoza, appeal rights discussed. Licensees understands that the Notice of Site Visit must remain posted for the next 30 days along with a copy of all Type A deficiencies cited during this inspection. A copy of all Type A deficiencies cited must also be immediately (within 24 hours of child’s next day in care) given to the parents of all children enrolled in the child care facility and any children enrolled into the child care facility over the next 12 months (at the time of enrollment).

Licensee is required to have all parents sign and date the Acknowledgement of Receipt of Licensing Reports (LIC9224) and maintain a copy in each child’s file.

Ms. Arlida Espinoza was provided with a copy of the appeal rights (LIC 9058 12/2015) and her signature on this report acknowledges receipt of those rights.

A copy of this report was provided to the licensee and this report must be made available to the public for
3 years.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20211118144522
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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MAGNOLIA PRESCHOOL AND KINDERGARTEN
FACILITY NUMBER: 334812640
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/24/2021
Section Cited
CCR
101223(a)(2)
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To be accorded safe, healthful, and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement was not met as evidenced by:
Based on LPA's interviews conducted and per staff’s own admission the day in question she was busy and she open the Sippy cup to pour water
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Director agrees to provide staff with training memo on Personal Rights and submit written statement of understanding from staff with their signatures by 11/24/2021. Director also agrees to provide in service training on Personal Rights and Reporting Requirements to provide CCL with sign in sheet/ agenda of topic and date and time of training by 12/06/2021. Updated Preschool Enrollment packet regarding Sippy cups. Please offered specifics regarding the use of the cups at the facility.
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but she did not pay close attention and disregard that it has spoiled milk in the cup from early morning. Staff was aware of the issue until it was brought to her attention by the director after the incident occurred.
Facility failed to protect the safety of the children. This is an immediate health and safety risk for 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: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021
LIC9099 (FAS) - (06/04)
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