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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372005101
Report Date: 09/01/2021
Date Signed: 09/21/2021 01:56:15 PM

Substantiated


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
08/24/2021 and conducted by Evaluator Selina Siao
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20210824155238
FACILITY NAME:CARMEL MOUNTAIN PRESCHOOLFACILITY NUMBER:
372005101
ADMINISTRATOR:DONNA TACONIFACILITY TYPE:
850
ADDRESS:9510 CARMEL MOUNTAIN ROADTELEPHONE:
(858) 484-4877
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:249CENSUS: 188DATE:
09/01/2021
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Donna TaconiTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Masks are not worn at the facility
INVESTIGATION FINDINGS:
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This is an amended report originally signed on 09/02/2021.

On 09/01/2021 at 9:45am, Licensing Program Analysts (LPAs), Selina Siao and Saraliz Velando conducted an unannounced complaint visit regarding the above referenced allegation.

Based on information obtained, LPAs observation and interviews with administrator, director and several staff members, it was determined that the school has not conveyed to parents and staff that masks for children over 2 are a requirement, not a recommendation, while they are indoor. Marjority of the children in each classroom were not wearing mask. All staff members were observed wearing mask during the inspection. Facility is not enforcing the mask requirement per County of San Diego and California Department of Public Health. This complaint allegation is determined to be Substantiated as the preponderance of evidence standard has been met. Type A deficiency under California Code of Regulations, Title 22, Division 12 & Chapter 1, is being cited on the attached LIC 9099D, indicating an immediate health and safety risk to clients in care.
“Licensee shall provide copies of this document to parents/guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months.”

Appeal Rights were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted and will remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
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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Control Number 51-CC-20210824155238
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: CARMEL MOUNTAIN PRESCHOOL
FACILITY NUMBER: 372005101
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
09/22/2021
Section Cited
CCR
101223(a)(2)
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Personal Rights. The licensee shall ensure that each child is accorded the following personal rights...To be accorded safe, healthful ...accommodations...to meet his/her needs. This requirement was not met as evidenced by

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Facility representation will submit a written statement indicating how they will ensure children are wearing masks indoors to Analyst by 9/22/21.

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Based on observation and interviews, it is determined the facility was not enforcing the use of mask indoors for children in care. This poses an immediate health and safety risk to clients in care.

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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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
LIC9099 (FAS) - (06/04)
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