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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372000455
Report Date: 01/20/2021
Date Signed: 01/20/2021 01:17:36 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
11/12/2020 and conducted by Evaluator Samantha Salunga
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20201112094058
FACILITY NAME:PILGRIM DAY CARE CENTERFACILITY NUMBER:
372000455
ADMINISTRATOR:JENNIFER GOINSFACILITY TYPE:
850
ADDRESS:2020 CHESTNUT AVENUETELEPHONE:
(760) 729-4464
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:110CENSUS: 5DATE:
01/20/2021
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Sheila CarpenterTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Facility does not have a qualified director on the premises full time.
INVESTIGATION FINDINGS:
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On 01/20/2021, Licensing Program Analyst (LPA) Samantha Salunga contacted facility to deliver the complaint finding for the above allegation. Due to COVID-19, an unannounced tele-inspection was conducted using FaceTime to tour the facility with Sheila Carpenter, Assistant Director/Teacher. During this inspection, there were a total of 5 children in the Teal Room with 1 staff member. Children were observed napping/laying quietly on their mats. During the course of the investigation, LPA conducted interviews with several staff members and day care parents. Children were not interviewed due to the nature of the complaint. Through interviews, it was confirmed that the assigned Center Director is Jennifer Goins, however, she is primarily working from home due to COVID-19 reasons. Ms. Goins will sometimes conduct on site visits as needed. LPA received conflicting information throughout the investigation regarding the above allegation. Based on the information obtained throughout the investigation, it is determined that although the above allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No citation was issued. See 9099-C for continuation...
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2021
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-20201112094058
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: PILGRIM DAY CARE CENTER
FACILITY NUMBER: 372000455
VISIT DATE: 01/20/2021
NARRATIVE
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A copy of this report, Technical Assistance (LIC9102) and appeal rights (LIC 9058 01/16) were reviewed during inspection and will be e-mailed to Ms. Carpenter and Ms. Goins. Ms. Carpenter was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours. Facility was advised to post the Notice of Site Visit and that failure to keep it posted will result in a $100 civil penalty.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2021
LIC9099 (FAS) - (06/04)
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