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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 561702359
Report Date: 09/07/2023
Date Signed: 09/08/2023 09:25:00 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/26/2023 and conducted by Evaluator Elvin Baddley
COMPLAINT CONTROL NUMBER: 17-CC-20230626131356
FACILITY NAME:CHRIST THE KING LUTHERAN PRESCHOOLFACILITY NUMBER:
561702359
ADMINISTRATOR:SARAH BRITTONFACILITY TYPE:
850
ADDRESS:3947 WEST KIMBER DRIVETELEPHONE:
(805) 499-7022
CITY:NEWBURY PARKSTATE: CAZIP CODE:
91320
CAPACITY:56CENSUS: 9DATE:
09/07/2023
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Justine AmbrechtTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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1. Staff is physically abusing day care children.
INVESTIGATION FINDINGS:
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On 9/7/23, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced inspection to deliver the findings for a Complaint pertaining to the abovementioned allegation. LPA met with Justine Ambrecht, Assistant Director of the Child Care Center (CCC), and advised of the purpose of the inspection. It should be noted LPA observed nine children on site along with three teachers providing care and supervision.

The investigation included observations, record reviews, interviews (Director, parents of children in care) and three unannounced site inspections. As noted above, the specific allegation of the Complaint is with regard staff physically abusing day care children.

The allegation was collaborated by staff at the CCC, which included current and former teachers (S1 and S2) as well the Director of the CCC. In essence, written declarations were provided to the CCC's Administration by S1 and S2 in February of 2023 detailing the mistreatment/physical abuse of children in care, namely C1 and C2, by S3, a former teacher of the CCC.
(CONT. 9099-C, Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
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 6
Control Number 17-CC-20230626131356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CHRIST THE KING LUTHERAN PRESCHOOL
FACILITY NUMBER: 561702359
VISIT DATE: 09/07/2023
NARRATIVE
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Based on LPAs observation, record reviews and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation, (Title 22 Division 12 and 101223 (a)(3), is being cited on the attached LIC 9099 D).

A closing interview was conducted with Assistant Director. Assistant Director was provided and advised of their right to appeal (LIC 9058). A copy of this report was reviewed and provided to the Assistant Director

The Notice of Site Visit (LIC 9213) was also provided to the Assistant Director as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 17-CC-20230626131356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHRIST THE KING LUTHERAN PRESCHOOL
FACILITY NUMBER: 561702359
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/08/2023
Section Cited
CCR
101223(a)(3)
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(a) The licensee shall ensure that 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 requirement was not met as
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Licensee to provided a written outline/plan to CCLD to eliminate the occurrence of any staff member mistreating or physically abusing children in care. Written outline/plan to be provided to CCLD (elvin.baddley@dss.ca.gov) by 9/8/2023, by the close of business.
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evidence of S3 physically abusing and mistreating C1 and C2 at the CCC, as documented by S1 and S2. This poses an immediate health, safety or personal rights risks to persons 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: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/26/2023 and conducted by Evaluator Elvin Baddley
COMPLAINT CONTROL NUMBER: 17-CC-20230626131356

FACILITY NAME:CHRIST THE KING LUTHERAN PRESCHOOLFACILITY NUMBER:
561702359
ADMINISTRATOR:SARAH BRITTONFACILITY TYPE:
850
ADDRESS:3947 WEST KIMBER DRIVETELEPHONE:
(805) 499-7022
CITY:NEWBURY PARKSTATE: CAZIP CODE:
91320
CAPACITY:56CENSUS: 9DATE:
09/07/2023
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Justine AmbrechtTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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1. Staff did not notify responsible party of incidents.
INVESTIGATION FINDINGS:
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On 9/7/23, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced inspection to deliver the findings for a Complaint pertaining to the abovementioned allegation. LPA met with Justine Ambrecht, Assistant Director of the Child Care Center (CCC), and advised of the purpose of the inspection. It should be noted LPA observed nine children on site along with three teacher providing care and supervision.

The investigation included observations record reviews, interviews (Director, parents of children in care) and three unannounced site inspections. As noted above, the specific allegation of the Complaint is with regard to CCC's staff failing to notify responsible party of incidents.

The allegation was collaborated by staff at the CCC (current and former teachers (S1 and S2), Director) and parents of children formally in care. In essence, the CCC's Admoistration was informed of the mistreatment and physically abuse of C1 and C2 at the hands of S3 by written declartions provided by S1 and S2 in Februarty of 2023. The CCC failed to inform the parents/authorized representatives of C1 and C2 of the
(CONT. LIC 9099-C, Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 17-CC-20230626131356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CHRIST THE KING LUTHERAN PRESCHOOL
FACILITY NUMBER: 561702359
VISIT DATE: 09/07/2023
NARRATIVE
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aforementioned. Likewise, CCC staff neglected their status as mandated reporters and failed to inform local county Child Protective Services of the incident. CCLD was not informed of the incident.

Based on LPAs observation, record reviews and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation, (Title 22 Division 12 and 101212 (f), is being cited on the attached LIC 9099 D).

A closing interview was conducted with Assistant Director and Assistant Director was provided and advised of their right to appeal (LIC 9058). A copy of this report was reviewed and provided to the Assistant Director.

The Notice of Site Visit (LIC 9213) was also provided to Assistant Director as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 17-CC-20230626131356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHRIST THE KING LUTHERAN PRESCHOOL
FACILITY NUMBER: 561702359
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2023
Section Cited
CCR
101212(f)
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Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.The items specified in (d)(1)(A) through (H) above shall
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Licensee to provided a written outline/plan to CCLD noting how reporting requirements will be adhere to. Written outline/plan to be provided to CCLD (elvin.baddley@dss.ca.gov) by 9/21/2023, by the close of business.
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also be reported to the child's authorized representative. This requirement was not met as evidence of CCC failing to report physical abuse/mistreatment of C1 and C2 to C1's/ C2s authorized representatives. This poses a potential health, safety or personal rights risks to persons 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: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 6