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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600751
Report Date: 08/29/2019
Date Signed: 08/29/2019 11:42:28 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
06/03/2019 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20190603113145
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: 44DATE:
08/29/2019
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Yvette JacksonTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Personal Rights - Facility staff handled the day care children in a rough manner.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Jo Ann Legaspi, conducted the inspection to deliver the complaint investigation findings, to the above allegation. LPA met with the Facility Representative.

It is alleged that a staff member inappropriately grabbed several children by the arm. Through the course of the investigation, LPA conducted several interviews with the staff, including the staff member in question, Facility Director, several children, including the child in question and several day care parents. LPA also reviewed pertinent information. Per the interviews, it was stated that the staff member in question did not grab a child by the arm. The staff member in question denied grabbing the child in question and/or any child by the arm but, the child in question states the staff member grabbed her by the arm. However, there was conflicting evidence and no witnesses to corroborate the allegation. 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.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
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-20190603113145
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
VISIT DATE: 08/29/2019
NARRATIVE
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No deficiency cited today. An exit interview was conducted and a copy of the report, Notice of Site Visit and the Appeal Rights were provided to the Representative. LPA observed the Representative post the Notice of Site Visit in a prominent place.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2