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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370806179
Report Date: 08/28/2019
Date Signed: 08/28/2019 01:19:57 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/29/2019 and conducted by Evaluator Michelle Hood
COMPLAINT CONTROL NUMBER: 51-CC-20190729152346
FACILITY NAME:ST. KIERAN'S PRE-SCHOOLFACILITY NUMBER:
370806179
ADMINISTRATOR:ERIN MARSHALLFACILITY TYPE:
850
ADDRESS:1347 CAMILLO COURTTELEPHONE:
(619) 440-3356
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:28CENSUS: 16DATE:
08/28/2019
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Erin MarshallTIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Child received unexplained injuries while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Michelle Hood and Leilani Curtis arrived to conduct an unannounced inspection to deliver complaint findings for the above listed allegation. LPAs met with Director. It was alleged child received unexplained injuries while in care. During the course of the investigation, interviews were conducted with Director, staff, parents, and daycare children. It was determined that on 07/24/2019, child (C1) was assessed by medical personnel after parent observed C1 to have unexplained injuries on their back, later identified as bite marks. According to facility staff, on 07/24/2019, C1 did not show signs of injury, nor exhibit any other signs of distress. Staff were unaware of how or when the injuries occurred. On 07/29/2019, staff witnessed C2 bite C1’s back, twice, before staff could intervene. A review of records and staff interviews revealed the preschool classroom was within ratio and capacity when the incidents occurred. Based on evidence obtained, LPAs are unable to determine whether or not, the injuries were preventable or if a lack of supervision contributed to incidents.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019
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 51-CC-20190729152346
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ST. KIERAN'S PRE-SCHOOL
FACILITY NUMBER: 370806179
VISIT DATE: 08/28/2019
NARRATIVE
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Due to lack of evidence to corroborate the allegation, the above allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Director was provided appeal rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit. LPAs observed that LIC 9213 was posted. No deficiencies cited. An exit interview was conducted.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2