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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364846174
Report Date: 09/15/2022
Date Signed: 09/15/2022 02:17:29 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
09/07/2022 and conducted by Evaluator Blanca Ruiz-Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220907152739
FACILITY NAME:FAIRYTALE CASTLE PRESCHOOLFACILITY NUMBER:
364846174
ADMINISTRATOR:ROSA LOPEZFACILITY TYPE:
850
ADDRESS:710 EAST FOOTHILL BLVDTELEPHONE:
(626) 567-5678
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY:116CENSUS: 48DATE:
09/15/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Laura Perez TIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Unqualified staff are providing care and supervision to children
INVESTIGATION FINDINGS:
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On 09/15/2022 at 10:00 a.m., Licensing Program Analysts (LPAs) Blanca Ruiz and Destinee Hogue arrived at the facility to conduct an unannounced complaint inspection regarding the above allegation. LPAs met with Administrator/Director, Laura Perez; and Teacher Juan Wu to further discuss the above allegation and to notify the facility that an investigation has been initiated. LPA toured the facility, took census, and reviewed/gathered facility information.

It was alleged that on or about the first week of September 2022, facility hired a staff who did not have enough credits to work as a fully qualified teacher. During this inspection, 12 facility files were reviewed of staff employed at the facility. During this inspection Staff N.1 was observed working in Classroom N.2 as a lead teacher providing care and supervision. However, upon records review, staff records revealed that he/she has college credits; however, courses in transcripts do not qualify Staff N.1 to work as a qualified Lead Teacher and/or qualified Teacher Aide.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
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 09-CC-20220907152739
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: FAIRYTALE CASTLE PRESCHOOL
FACILITY NUMBER: 364846174
VISIT DATE: 09/15/2022
NARRATIVE
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Based on records review, LPAs observation and facility verification of records; it was confirmed that the facility was out of compliance. Therefore the preponderance of evidence standard has been met, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, divisions & chapter number are being cited on the attached LIC 9099D.)

A copy of this report was provided to the licensee on this date.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 09-CC-20220907152739
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: FAIRYTALE CASTLE PRESCHOOL
FACILITY NUMBER: 364846174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/14/2022
Section Cited
CCR
101216.1(b)(1)
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b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below: (1) A teacher shall have completed,...at least six post secondary semester or equivalent quarter units of the...requirement specified...below, or shall have obtained a Child Development Assistance Permit...
This requirement is not met as evidenced by:
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Licensee/facility representative agrees to review staff records prior to employment and attach course descriptions to verify Title 22 compliance. Director agrees to follow up with UCI Child Development to provide a course description for completed college courses to verify Teacher/Teacher Assistance compliance.
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During this inspection, Staff N.1 was observed working in Classroom N.2 as a lead teacher providing care and supervision. However, staff records revealed that S#1 has college credits; however, courses in transcripts do not qualify S#1 to work as a qualified Lead Teacher and/or qualified Teacher Aide.
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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: 09/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3