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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372001091
Report Date: 01/11/2022
Date Signed: 01/11/2022 09:46:17 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
11/01/2021 and conducted by Evaluator Joelle Redding
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20211101093916
FACILITY NAME:MIRA MESA PRESBYTERIAN PRESCHOOLFACILITY NUMBER:
372001091
ADMINISTRATOR:TAMI COLEMANFACILITY TYPE:
850
ADDRESS:8081 MIRA MESA BOULEVARDTELEPHONE:
(858) 578-2160
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:63CENSUS: 10DATE:
01/11/2022
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Director Angela SirotaTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Facility is not following the admission's agreement.
INVESTIGATION FINDINGS:
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On 1/11/22 @ 9:15 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit to deliver findings on the above referenced allegation and the allegations listed on LIC 9099A.

During the course of the investigation, LPAs conducted interviews with staff, parents and children, reviewed pertinent documentation and conducted observation of the facility. The facility has not been consistent in following the policy outlined in their Admission Agreement/Parent Handbook stating that all visitors are to check in at the preschool office and wear identification so that staff knows the visitor has been authorized to be on campus. This resulted in at least one incident wherein a visitor entered a classroom, without identification, causing the teacher in the room to be concerned for the welfare of the children. Based on the information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, (Title 22, Div 12 & Cpt 1) is being cited on the attached LIC 9099D. Notice of Site Visit was given and will remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2022
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 3
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
11/01/2021 and conducted by Evaluator Joelle Redding
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20211101093916

FACILITY NAME:MIRA MESA PRESBYTERIAN PRESCHOOLFACILITY NUMBER:
372001091
ADMINISTRATOR:TAMI COLEMANFACILITY TYPE:
850
ADDRESS:8081 MIRA MESA BOULEVARDTELEPHONE:
(858) 578-2160
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:63CENSUS: DATE:
01/11/2022
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:TIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Staff did not implement COVID-19 mask guidance
Uncleared adults on site without supervision
Parents are being refused the right to opt out of religious services
INVESTIGATION FINDINGS:
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During this investigation, Staff were observed by LPAs and confirmed to be wearing masks in the classrooms, however there was some indication that on one or two occasions, a staff may be been unmasked, for short period of time, while in the presence of children. LPAs did confirm that there was a member of the school board who was routinely present for maintance work, usually after hours and sometimes unaccompanied, who did not have a criminal record clearance. This person was not left alone with children and did not directly supervise children but other contact/interaction was unclear. With regard to opting out of religious services, there was some reticence on the part of administration but no confirmed denial could be established.

Based the information obtained during interviews, documentation review and facility observation, the above-referenced allegations are considered Unsubstantiated.A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Notice of Site Visit was given and will be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20211101093916
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: MIRA MESA PRESBYTERIAN PRESCHOOL
FACILITY NUMBER: 372001091
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/21/2022
Section Cited
CCR
101219(f)
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Admissions Agreement. The licensee shall comply with all terms and conditions set forth in the admission agreement.

This requirement was not met as evidenced by:
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Director states that since the time of the incident, the individual was addressed, visitor badges and sign in sheet is available in the office. Currently, visitors are discouraged. Director states that parents have been compliant on the whole, however she will send an email out to parents, board members and potential visitors, reminding them of the
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Based on interview and review of the signed Adminissions Agreement connected with the Parent Handbook stating all policies will be strictly enforced. The facility was not enforcing it's requirements for visitors to check in at the preschool office and wear identification. This is a potential risk to the health and safety of children in care.
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policy and ensure postings are on the door of the office. A copy of the email will be sent to Licensing as proof of correction by 1/21/22.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2022
LIC9099 (FAS) - (06/04)
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