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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600751
Report Date: 01/28/2020
Date Signed: 01/28/2020 02:14:24 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
11/05/2019 and conducted by Evaluator Tresha Souza
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20191105164025
FACILITY NAME:MERRY-GO-AROUND, THEFACILITY NUMBER:
376600751
ADMINISTRATOR:YVETTE JACKSONFACILITY TYPE:
850
ADDRESS:9175 KEARNY VILLA ROADTELEPHONE:
(858) 536-1008
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:72CENSUS: 41DATE:
01/28/2020
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Yvette JacksonTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff spoke inappropriately to child in care.




INVESTIGATION FINDINGS:
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An unannounced complaint inspection was conducted today by LPA's Michelle Hood and Tresha Souza to deliver the findings regarding the above allegation. Upon arrival, LPA's met with Yvette Jackson, Site Director,and Kim Hardison Assistant Site Director. A tour of the center was conducted (preschool component). There were 41 children observed present in four classrooms. Appropriate staff-children ratio were observed in all the preschool classroom. Based on the information obtained during interviews and review of documentation, it was determined that staff yelled at children on at least three different occasions.

Therefore, the above allegation is found to be SUBSTANTIATED. Type B deficiency is cited on the accompanying LIC 9099D which poses a potential risk to the health, safety or personal rights of children in care, California Code of Regulations, An exit interview was conducted and a copy of the report, appeal rights, acknowledgement of receipt of licensing reports and the notice of site visit were provided to the facility representatives. LPA observed the representative post the Notice of Site Visit in a prominent place. The representative states it is understood that this notice must be posted for 30 days. Signature at the bottom of this report confirms receipt.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Tresha SouzaTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
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 51-CC-20191105164025
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: MERRY-GO-AROUND, THE
FACILITY NUMBER: 376600751
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/28/2020
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights- To be free from corporal or unusual punishment, ... intimidation, ... withholding of shelter, clothing, medication or... aids to physical functioning.



This requirement was not met as evidence by:
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On 1-11-20 Director provided a staff training on childrens rights, supervision and communication and staff interaction. On 2-17-20 Director will be providing staff another in house training. The Director holds these trainings quarterly.
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based on interviews conducted, facility did not ensure the children were treated with respect when staff yelled at children on at least three occasions. This poses as a potential risk to the health, safety, or personal rights of children in care.
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 Director will submit the agenda, staff sign in sheet no later than 2-21-20.
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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: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Tresha SouzaTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2