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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600246
Report Date: 01/10/2022
Date Signed: 01/10/2022 06:09:45 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
10/07/2021 and conducted by Evaluator Tyra Block
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20211007150114
FACILITY NAME:KLASSIC KIDS DAY CARE - GAGE ELEMENTARYFACILITY NUMBER:
376600246
ADMINISTRATOR:LAUREN HALLFACILITY TYPE:
840
ADDRESS:6811 BISBY LAKE AVENUETELEPHONE:
(619) 460-3750
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY:136CENSUS: 45DATE:
01/10/2022
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Kristen Gonzalez and Leticia GarciaTIME COMPLETED:
05:14 PM
ALLEGATION(S):
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Facility operating out of ratio.
INVESTIGATION FINDINGS:
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On 1/10/22, Licensing Program Analyst (LPA), Tyra Block, made an unannounced complaint visit for the complaint received on 10/7/21 for the purpose of delivering findings on the above referenced allegation. Present at the facility were 45 children with 5 staff (including substitute). The children were being supervised in Room B-9, the auditorium, and the cafeteria area.

Based on the information obtained during interviews and documentation reviewed it is determined that 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, Chapter 1) the deficiency is being cited on the attached LIC 9099D. The Notice of Site Visit was provided, and LPA observed it posted. Licensee is advised it must remain posted for 30 days. An exit interview was conducted with Kristen. A copy of this report and Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2022
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 2
Control Number 51-CC-20211007150114
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: KLASSIC KIDS DAY CARE - GAGE ELEMENTARY
FACILITY NUMBER: 376600246
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/21/2022
Section Cited
CCR
101516.5(b)(1)
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101516.5(b)(1)-Teacher-Child Ratio: A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirement was not met as evidenced by:
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Program manager, Kristen Gonzalez, stated a site supervisor has been hired to oversee the daily operations at the facility and will ensure compliance with teacher-child ratio. PM states a new LIC 500 and written plan will be submitted by POC due date
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Based on interviews conducted with staff, children, and parents and documentation the center has operated out of ratio on several occasions due to staffing shortage. This poses a potential health and safety 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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2