376600135-1-18-2023-20-CC-CGRY-CNNNGL-20230202092716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600135
Report Date: 01/18/2023
Date Signed: 01/18/2023 02:16:41 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
11/16/2022 and conducted by Evaluator Dana Stevens

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20221116165657

FACILITY NAME:	AKA HEAD START - CASA DE ORO		FACILITY NUMBER:	376600135
ADMINISTRATOR:	BETTY SMITH		FACILITY TYPE:	850
ADDRESS:	10235A RAMONA DRIVE		TELEPHONE:	(619) 660-9772
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	57	CENSUS: 0	DATE:	01/18/2023
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Gardenia Gresham		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility operating beyond the terms of the license.

INVESTIGATION FINDINGS:

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On 01/18/2023 LPA, Dana Stevens, conducted an unannounced complaint visit regarding the above allegation. LPA met with Lead Teacher Gardenia Gresham. There were no children present at the time of the inspection due to minimum day. During the investigation LPA conducted confidential interviews with Staff and it was determined that a child under the age of 3 was enrolled in the preschool program, which is licensed to serve children ages 3-5. Director advised analyst that the child was placed in the facility at the directive of the Assistant Executive Director of the AKA Head Start main office.

Based on information obtained in interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED, California Code of Regulations, (Title 22, Section 101161(a)) are being cited on the attached LIC 9099D. Exit interview conducted and Gardenia Gresham was provided with a copy of this report and appeal rights. Notice of Site Visit must be posted for 30 days

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Dana Stevens	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023

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 20-CC-20221116165657

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: AKA HEAD START - CASA DE ORO	FACILITY NUMBER: 376600135
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/18/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/17/2023 Section Cited CCR 101161(a)	1 2 3 4 5 6 7	Limitations on Capacity and Ambulatory Status. A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.	1 2 3 4 5 6 7	Director advised analyst that enrollment is conducted through the AKA Head Start main office and child was accepted prior to approved age on license based the directive of the Assistant Executive Director. Director will forward
	8 9 10 11 12 13 14	This requirement was not met when it was determined that facility, who's program is licensed to solely serve 3 - 5 year olds, enrolled a child who had not reached three years of age. Having children who don't meet program age requirements is a potential risk to their health and safety.	8 9 10 11 12 13 14	findings to the Assistant Executive Director with the understanding that the correction for the violation is the submission of an updated application to CCL, by 02/17/2023 revising the ages served by the preschool program to children from 2-5 years old.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Dana Stevens	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023

LIC9099 (FAS) - (06/04)

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