376600164-6-13-2019-20-CC-JGAY-BDCUUN-20190621155349

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600164
Report Date: 06/13/2019
Date Signed: 06/13/2019 03:54:13 PM

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
03/22/2019 and conducted by Evaluator Diana Sanchez

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20190322094432

FACILITY NAME:	MISSION NAZARENE PRESCHOOL-INFANT		FACILITY NUMBER:	376600164
ADMINISTRATOR:	ANGELA SIROTA		FACILITY TYPE:	830
ADDRESS:	4750 MISSION GORGE PLACE		TELEPHONE:	(619) 287-4900
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92120
CAPACITY:	36	CENSUS: 21	DATE:	06/13/2019
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Angela Sirota, Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Lack of supervision resulting in child biting another child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Diana Sanchez, made an unannounced complaint inspection today to deliver complaint finding on the above allegation. LPA met with Angela Sirota and made her aware of the reason for today’s inspection. Current census is 21.

This agency has investigated the complaint alleging facility staff failed to proper supervision resulting in child biting another child. During the investigation, LPA reviewed children’s records, interviewed facility staff and parents.
Although infant #1 was bitten, it was not due to lack of supervision. Director and staff deny the allegation; explaining that staff were present, witnessed incidents and took immediate action. Facility has a care plan for each child identified as biter and work with parents to help child on this behavior.

There is insufficient evidence to support and no witnesses to corroborate the above allegation. LPA was unable to determine whether the incident occurred or if there were lack of supervision. Therefore, based on the information obtained the allegation is unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019

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-20190322094432

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: MISSION NAZARENE PRESCHOOL-INFANT	FACILITY NUMBER: 376600164
	VISIT DATE: 06/13/2019

NARRATIVE

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A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occurred.

An exit interview was conducted with Angela Sirota and a copy of this report left at the facility.

LPA observed provider placing the Notice to Cite Visit on the wall visible to parents during today’s inspection.

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019

LIC9099 (FAS) - (06/04)

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