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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372005155
Report Date: 01/03/2023
Date Signed: 01/03/2023 02:59:00 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
11/02/2022 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20221102163528
FACILITY NAME:MESA COLLEGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
372005155
ADMINISTRATOR:IDA CROSSFACILITY TYPE:
850
ADDRESS:7250 MESA COLLEGE DRIVETELEPHONE:
(619) 388-2812
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:66CENSUS: 19DATE:
01/03/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Cynthia CarrilloTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility staff did not prevent a day care child from being bitten by another child while in care.
INVESTIGATION FINDINGS:
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On 1/3/23 at 1: 000 PM Licensing Program Analyst, Adrian Mangina, conducted an unannounced visit to deliver findings on the above-referenced allegation. LPA met with Site Director Cynthia Carrillo. There were 19 children present in 3 classrooms with 4 teachers, 4 assistants and one floater present. Proper supervision and ratios were observed.

It was alleged that on or around 11/2/22, Child #1 (C1) was bitten by Child #2 (C2) such that the skin was broken. During interviews and record review, LPA ascertained that C2 had bitten C1 and at least four other children since September 2022, and C2 continues to be a biting threat to others in the classroom. Although the facility did follow their process for evaluating the child for behavioral issues, the facility staff did not provide adequate supervision to prevent continued biting by C2. The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Section 101229(a) Type B deficiency is being cited on the attached LIC 9099D.
(continued on LIC9099 page 2)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2023
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
Control Number 51-CC-20221102163528
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: MESA COLLEGE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 372005155
VISIT DATE: 01/03/2023
NARRATIVE
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(LIC9099 page 2)

Exit interview conducted and report was reviewed with the facility representative Cynthia Carrillo. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 51-CC-20221102163528
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: MESA COLLEGE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 372005155
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/10/2023
Section Cited
CCR
101229(a)
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RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION: The licensee shall provide care and supervision as necessary to meet the children's needs.

This requirement was not met as evidenced by:
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Facility Representative states will provide 1 to 1 supervision until director's return 1/9/23. Upon Director's return a written Plan of Correction that includes behavioral plan for C1 and training for all staff on adequate supervision. Director to provide POC to LPA no later than 1/13/23. Director will provide outline of training & sign in sheets.
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Based on interviews and record reviews facility did not provide adequate supervision to child #2 to prevent the child from biting multiple classmates, none of whom needed medical care, which poses a potential health, safety or personal rights risk to children 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: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3