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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370806487
Report Date: 05/23/2019
Date Signed: 05/23/2019 11:07:36 AM



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
03/12/2019 and conducted by Evaluator Luigi Gargaro
COMPLAINT CONTROL NUMBER: 20-CC-20190312145544
FACILITY NAME:NHA HOME AVENUE HEAD START FAMILY FOCUS CENTERFACILITY NUMBER:
370806487
ADMINISTRATOR:ANDREA N. ALLISONFACILITY TYPE:
850
ADDRESS:4111 HOME AVENUETELEPHONE:
(619) 262-8199
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:130CENSUS: 101DATE:
05/23/2019
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Site Supervisor Andrea AllisonTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
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8
9
Staff failed to provide adequate supervision resulting in a child being inappropriately contacted by another child in care

Staff left daycare children unattended
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA, Luigi Gargaro, conducted an unannounced complaint visit to the facility today to deliver findings for the above allegations. During the course of the investigation, analyst conducted interviews with the reporting party, staff who were present during the time of the reported incident and children in care.

Based on the information obtained, analyst could not prove or disprove whether on the reported incident date that the children in question were left alone for any amount of time or that any lack of supervision resulted in inappropriate contact between children. Interviews found staff and children denying being unsupervised or any inappropriate incidents occurring.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted during this visit and will remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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