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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364805573
Report Date: 08/10/2022
Date Signed: 08/10/2022 09:54:12 AM

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
05/17/2022 and conducted by Evaluator Justin Giese
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220517100212
FACILITY NAME:OCS ST. CATHERINE OF SIENA PRESCHOOLFACILITY NUMBER:
364805573
ADMINISTRATOR:BEVERLY WINNFACILITY TYPE:
850
ADDRESS:335 N. SYCAMORE AVENUETELEPHONE:
(909) 875-7821
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:35CENSUS: 0DATE:
08/10/2022
UNANNOUNCEDTIME BEGAN:
08:06 AM
MET WITH:Beverly WinnTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Staff inappropriately disciplined child
INVESTIGATION FINDINGS:
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On 08/10/2022 at time listed above, Licensing Program Analyst (LPA) Justin Giese conducted a visit to the facility for the purpose of concluding a complaint investigation. LPA met with Facility Director, Beverly Winn, regarding the above listed allegation, which were received on 05/17/2022.

The following was Alleged: Staff inappropriately disciplined child

On 05/25/2022 LPA made an unannounced visit to the facility to conduct further investigation into the allegation of this complaint. At time of visit LPA conducted interviews with Facility Director and staff onsite. It was reported that Facility Staff instructed a Child to keep their hands raised for a prolonged period after verbal redirection was deemed ineffective. Statements recorded from Director and staff involved corroborate that the allegation did occur as a means of controlling the Child from fidgeting at their desk during an instructional period.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
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 5
Control Number 09-CC-20220517100212
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: OCS ST. CATHERINE OF SIENA PRESCHOOL
FACILITY NUMBER: 364805573
VISIT DATE: 08/10/2022
NARRATIVE
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Director stated that this form of discipline is inappropriate and should not be utilized under any circumstances. The facility has conducted its own investigation into this matter and exercised administrative action against Staff involved.

Based on LPAs interviews and statements recoded during this investigation, the preponderance of evidence standard has been met, therefore the above allegation: Staff inappropriately disciplined child are found to be SUBSTANTIATED.

Please see attached LIC9099D for Type A Deficiency Cited

LPA issued a Notice of Site Visit and verified it was posted in a prominent location at the facility. Director 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 during this inspection 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). Licensees are 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. A copy of this report, LIC9224 and Appeal Rights (LIC9058) were provided during this inspection.

An exit interview was conducted, and LPA provided Director, Beverly Winn with a copy of this report on 08/10/2022.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
05/17/2022 and conducted by Evaluator Justin Giese
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220517100212

FACILITY NAME:OCS ST. CATHERINE OF SIENA PRESCHOOLFACILITY NUMBER:
364805573
ADMINISTRATOR:BEVERLY WINNFACILITY TYPE:
850
ADDRESS:335 N. SYCAMORE AVENUETELEPHONE:
(909) 875-7821
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:35CENSUS: 0DATE:
08/10/2022
UNANNOUNCEDTIME BEGAN:
08:06 AM
MET WITH:Beverly WinnTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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9
Staff hit child
INVESTIGATION FINDINGS:
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On 08/10/2022 at time listed above, Licensing Program Analyst (LPA) Justin Giese conducted a visit to the facility for the purpose of concluding a complaint investigation. LPA met with Facility Director, Beverly Winn, regarding the above listed allegation, which were received on 05/17/2022.

The following was Alleged: Staff hit child

On 05/25/2022 LPA made an unannounced visit to the facility to conduct further investigation into the allegation of this complaint. At time of visit LPA conducted interviews with Facility Director and staff onsite. It was reported that Facility Staff had hit a Child on their hands. Statements recorded from Director and staff involved deny that children are hit on the hands as a form of discipline. LPA was unable to interview children at time of initial visit due to other circumstances outside of this complaint investigation. As a result, the facility entered inactive status as of 05/25/2022 and has voluntarily remained inactive since. LPA was unable to make subsequent visits to the facility or conduct child interviews due to facility not operating.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 09-CC-20220517100212
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: OCS ST. CATHERINE OF SIENA PRESCHOOL
FACILITY NUMBER: 364805573
VISIT DATE: 08/10/2022
NARRATIVE
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This agency has investigated the complaint alleging Staff Hit Child. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A NOTICE OF SITE VISIT WAS GIVEN. DIRECTOR WAS INSTRUCTED TO POSTED IT IN A PROMINENT LOCATION AT THE FACILITY. THE DIRECTOR UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

An exit interview was conducted, A copy of this report and appeal rights were given to the Licensee during this inspection on 08/10/2022
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 09-CC-20220517100212
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: OCS ST. CATHERINE OF SIENA PRESCHOOL
FACILITY NUMBER: 364805573
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/11/2022
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights: (a)... each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...

This was not met as evidenced by:
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Director and staff agree to immedietly stop this practice of discuipline in the facility. Director understnds the immedite health and safety risks to children in care. Director and Staff will review Children's Personal Rights video resources located on the CDSS website. Director and staff will review personal rights regulation provided by
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Based on LPA observation and interviews, Staff instructed a Child to keep their hands raised for a prolonged period after verbal redirection was deemed ineffective. This poses an immediate health and safety risk to the children in care.
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LPA and submitt with staff signatures by the given due date.
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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: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5