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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374845522
Report Date: 08/25/2021
Date Signed: 09/14/2021 07:34:47 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/02/2021 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210402092129
FACILITY NAME:EMMANUEL FAITH PRESCHOOLFACILITY NUMBER:
374845522
ADMINISTRATOR:FELICIANO, JESSICAFACILITY TYPE:
850
ADDRESS:639 E. 17TH AVENUETELEPHONE:
(760) 745-2541
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:120CENSUS: 68DATE:
08/25/2021
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jessica FelicianoTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Staff are discriminating against a day-care child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced complaint visit. LPA met with Director Jessica Feliciano, to deliver findings on the above stated allegation.

Investigation consisted of interviews with Director, Assistant Director and a witness. LPA also reviewed relevant paperwork and obtained a Declaration from the assigned Teacher.

Investigation revealed the following: Facility Staff deny ever discriminating against Child #1 (C1). C1 was only enrolled at the facility for one month, but a substantial amount of documentation was generated. The reporting party is adamant there were other children with the same challenges as C1, but the same kind of documentation was not created, nor the frequency of meetings was not required with their parents.

Based on interviews with staff and record review, the allegation that staff are discriminating against a day-care child may have ocurred, however it is not supported or proven by evidence. Therefore, the allegation is
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
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 3
Control Number 10-CC-20210402092129
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: EMMANUEL FAITH PRESCHOOL
FACILITY NUMBER: 374845522
VISIT DATE: 08/25/2021
NARRATIVE
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unsubstantiated at this time.

Exit interview conducted and a copy of the report along with the appeal rights were provided to Director Jessica Feliciano.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3