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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376300229
Report Date: 10/09/2024
Date Signed: 10/09/2024 03:10:58 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
09/27/2024 and conducted by Evaluator Keely Messerschmidt
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240927115223
FACILITY NAME:GRACE LUTHERAN CHURCH & CHRISTIAN SCHOOLFACILITY NUMBER:
376300229
ADMINISTRATOR:BREANNE MANATAFACILITY TYPE:
830
ADDRESS:643 WEST 13TH AVENUETELEPHONE:
(760) 747-3029
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:18CENSUS: DATE:
10/09/2024
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Mersadies HenryTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Facility is out of ratio
Staff are not following safe sleep regulations
INVESTIGATION FINDINGS:
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On the above date and time listed, Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility for the purpose of delivering complaint findings on the above-referenced allegations. LPA met with Facility Representative Mersadies Henry. LPA toured the facility, conducted census, and verified facility staff and children enrollment.

On September 27th, 2024, Community Care Licensing (CCL) received a complaint alleging that facility is out of ratio and staff are not following safe sleep regulations.

See LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
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 2
Control Number 10-CC-20240927115223
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: GRACE LUTHERAN CHURCH & CHRISTIAN SCHOOL
FACILITY NUMBER: 376300229
VISIT DATE: 10/09/2024
NARRATIVE
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When it comes to allegation that facility is out of ratio, based on interviews conducted classroom always operates with an additional staff member to ensure ratio is being met and extra hands are available. Based on interviews and records reviewed when it comes to allegation staff are not following safe sleep regulations, it was revealed that staff complete the 15 minute sleep logs and ensure nothing is placed in the cribs with the infants. LPA observed 9 infants with 2 staff members during nap time, when LPA exited classroom the 3rd staff member was returning from lunch. LPA also observed sleep logs, sleeping plans and that cribs had no blankets or any items in them with the sleeping child.

Based on the information obtained during this investigation, it has been determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with the Facility Representative, Mersadies Henry, and a copy was provided. Appeal rights were discussed and provided during the exit interview.

A Notice of Site visit was given, and Facility Representative understands that it must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
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)
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