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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 561711043
Report Date: 05/30/2025
Date Signed: 05/30/2025 12:37:07 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
03/07/2025 and conducted by Evaluator Veronica Diaz
COMPLAINT CONTROL NUMBER: 17-CC-20250307152248
FACILITY NAME:KING OF GLORY PRESCHOOLFACILITY NUMBER:
561711043
ADMINISTRATOR:SHANNON MEYERSONFACILITY TYPE:
850
ADDRESS:2500 BORCHARD ROADTELEPHONE:
(805) 498-0567
CITY:NEWBURY PARKSTATE: CAZIP CODE:
91320
CAPACITY:75CENSUS: 0DATE:
05/30/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Shannon MeyersonTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff handled day care child in a rough manner
INVESTIGATION FINDINGS:
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On 5/30/25 Licensing Program Analyst (LPA) Veronica Diaz conducted an unannounced inspection to deliver the findings of the above-mentioned allegation. LPA met with site director Shannon Meyerson and advised them for the purpose for this inspection. At the time of inspection there were no children in the care director and staff are preparing the preschool for summer camp. Children will be back Monday.

The Department received a complaint alleging staff handled day care child in a rough manner, LPA conducted interviews with staff, C1, and parent interviews.

Based on interview with C1, parents, and staff acknowledging the incident happened, documents gathered, the preponderance of evidence standard has been met, therefore the above allegation is found SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D.

Continued LIC9099C

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025
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 17-CC-20250307152248
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KING OF GLORY PRESCHOOL
FACILITY NUMBER: 561711043
VISIT DATE: 05/30/2025
NARRATIVE
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During today’s inspection a Type A citation issued for Personal Rights101223 (a)(3)

LPA Veronica Diaz informed the director to provide a copy of this licensing report dated 05/30/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Exit interview conducted, appeal rights were given, and report was reviewed with director Shannon Meyerson.
SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 17-CC-20250307152248
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: KING OF GLORY PRESCHOOL
FACILITY NUMBER: 561711043
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/30/2025
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
3) To be free from corporal or unusual punishment...

This requirements is not met as evidence by:
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Director agreed to have an informal meeting with management at the SBRO at a letter time
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Based on interview and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety, or personal rights risk 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: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3