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Inspection visit

Complaint

WELLSPRING CHRISTIAN ACADEMYLicense 3348464451 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

The Licensing Program Analyst (LPA) Samuel Lopez investigated the above allegations and gathered the following information: When incidents occur, staff get together to write a report (Ouch) and then enter the information into the Lilio application (app). Teachers ask the Director if they are going to contact parents or if the Director will. At that point an additional message will be sent via the Lilio app, which is more specific regarding the incident(s) that occurred involving the child. When a child is prevented from hitting or biting, that action would not warrant a report or message in the Lilio app. In reviewing the facility’s Parent Handbook, in the section titled, Rules of Discipline, it states that parents will be notified of the behavior management strategies used and receive an incident report. Also in the Parent handbook, in the section titled, Repeat Aggressive/Inappropriate Behavior, it states that an action plan will be developed between the Lead Teacher, Parents, and Directors to ensure all behaviors have been identified and assessed to find the best possible resolutions for the child. Then it adds that, Southwest Christian Academy reserves the right to withdraw a participant from the program if all discipline options have been exhausted and/or demonstration of extreme behavior that may put participants and staff in danger. On 9/12/2025, a message was sent to a child's parent/legal guardian regarding a meeting to discuss the child's behavior and concerns with the issues/incidents that had previously occurred, such as biting, scratching, pushing other children, invading personal space, and bulldozing other children. Also to better communicate the ideas and strategies that had been implemented in class, along with strategies that could be modeled at home. An action plan was developed that would be part of the discussion during the meeting, which was set for October 3, 2025. Then, days before the meeting, a discussion took place between the Director and the staff where it was decided that the termination of enrollment would be the outcome of the upcoming meeting. On the day of the meeting the items mentioned were discussed, however, parents/legal guardians were informed that enrollment for their child would be terminated. The reasons for the termination of enrollment were for on-going behavioral incidents/issues that allegedly occurred between the time the message was sent for the meeting up until the meeting. The previous incidents that would be discussed during the scheduled meeting had been reported, documented, and disclosed to parent/legal guardians. Any new or recent behavioral incidents/issues/concerns regarding the child was news to the parents/legal guardians. In reviewing facility documentation, including communication through the Lilio app, there were no incident reports found that were sent to the parents/legal guardians, which detailed behavioral issues nor concerns like the previous ones recorded/reported. Based on interviews conducted, documentation/reports, and a review of additional pertinent information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. See LIC 9099-D for cited deficiency. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Director Deborah Angulo.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 101219(f)Type B

    ADMISSION AGREEMENTS

    Admission Agreements: The licensee shall comply with all terms and conditions set forth in the admission agreement. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above. The facility failed to report incidents to theparents/legal guardians and follow their own admission policies as stated on the Parent Handbook, regarding discipline and repeat aggressive/inappropriate behaviors. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • PERSONNEL REQUIREMENTS

    Based on record review, the licensee did not comply with the section cited above. In reviewing staff files, staff #7 did not have a health screening that was less than one year from employment. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • ARTICLE 2. Administration of Child Day Care Licensing

    Based on record review, the licensee did not comply with the section cited above. In reviewing staff files, staff #1 and #2 did not have current Mandated Reporter Training certificates on file. This poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 21, 2025 inspection of WELLSPRING CHRISTIAN ACADEMY?

This was a complaint inspection of WELLSPRING CHRISTIAN ACADEMY on October 21, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to WELLSPRING CHRISTIAN ACADEMY on October 21, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Admission Agreements: The licensee shall comply with all terms and conditions set forth in the admission agreement. This..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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