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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372000431
Report Date: 05/11/2022
Date Signed: 05/11/2022 10:36:44 AM

Unsubstantiated


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
03/01/2022 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220301143206
FACILITY NAME:PACIFIC BEACH PRESBYTERIAN PRESCHOOLFACILITY NUMBER:
372000431
ADMINISTRATOR:AMY JONESFACILITY TYPE:
850
ADDRESS:1675 GARNET AVENUETELEPHONE:
(858) 273-1320
CITY:SAN DIEGOSTATE: CAZIP CODE:
92109
CAPACITY:51CENSUS: 31DATE:
05/11/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Amy JonesTIME COMPLETED:
10:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
An adult on the property is a health and safety risk to children in care
Facility is out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/11/22 at 10:00 AM Licensing Program Analyst (LPA) Adrian Mangina made an unannounced complaint visit for the complaint received on 3/1/22 for the purpose of delivering findings on the above reference allegations.

The Department fully investigated the complaint. LPA Mangina conducted Interviews with facility staff, parents of an enrolled families and other parties. LPA obtained and reviewed documents from the facility file review, documents from the facility, and from and other parties. Based upon this information it is determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred and is therefore UNSUBSTANTIATED. Exit interview was conducted and report was reviewed with Facility Representative Amy Jones. Notice of Site Visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
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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