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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600282
Report Date: 01/14/2020
Date Signed: 01/14/2020 10:30:02 AM



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
11/07/2019 and conducted by Evaluator Marie Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20191107144041
FACILITY NAME:NHA - BARBARA Y. FIELDING EARLY LEARNING ACADEMYFACILITY NUMBER:
376600282
ADMINISTRATOR:WEDDINGTON, JENNIFERFACILITY TYPE:
830
ADDRESS:841 SOUTH 41ST STREETTELEPHONE:
(619) 263-7761
CITY:SAN DIEGOSTATE: CAZIP CODE:
92113
CAPACITY:40CENSUS: 27DATE:
01/14/2020
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Paola Carbajal, Facility DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Neglect/Lack of Supervision - Day care child #1 sustained an injury while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Marie Hernandez, conducted the inspection to deliver the complaint investigation findings, to the above allegation. LPA met with the Facility Director, Paola Carbajal. Present during today's inspection are twenty seven children with thirteen staff members. It is alleged that due to a lack of supervision, a day care child #1 sustained a scratch on the face and a bite mark on the wrist. Through the course of the investigation, LPA conducted several interviews with the staff, several children, including child #1 and several day care parents. LPA also reviewed pertinent information and reviewed video footage from the facility’s surveillance system. Per the interviews, it is stated that child #1 and child #2 were fighting over a tricycle when child #2 suddenly bit child #1 on the hand. Per the interviews, it is stated that the staff were standing right beside child #1 when child #2 suddenly bit child #1 on the hand. The staff intervened and redirected child #1 and child #2. The staff stated that the biting incident was beyond their control and not due to a lack of supervision. The video footage also concurs with the staff statements regarding the bite on child #1’s hand. Regarding the scratch on child #1’s face, it cannot be determined if it was due to a lack of supervision. The video footage did not capture that incident. The video shows the staff hand gesturing to another staff that child #1 sustained a scratch on the face and a bite on the hand from child #2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
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 20-CC-20191107144041
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: NHA - BARBARA Y. FIELDING EARLY LEARNING ACADEMY
FACILITY NUMBER: 376600282
VISIT DATE: 01/14/2020
NARRATIVE
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However, there was conflicting evidence and no witnesses to corroborate the allegation that due to a lack of supervision child #1 sustained a scratch on the face. 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 occur. Therefore, the allegation is Unsubstantiated.

No deficiency cited today. An exit interview was conducted and a copy of the report, Notice of Site Visit including the Appeal Rights were provided to the Facility Director. LPA observed the Director post the Notice of Site Visit in a prominent place. The Director states it is understood that this notice must be posted for 30 days.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2