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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600804
Report Date: 07/01/2019
Date Signed: 07/01/2019 03:30:25 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
05/03/2019 and conducted by Evaluator Rajani Goudreau
COMPLAINT CONTROL NUMBER: 20-CC-20190503113114
FACILITY NAME:MY ROOM TO GROW PRESCHOOLFACILITY NUMBER:
376600804
ADMINISTRATOR:MARINA SRAGOVICZFACILITY TYPE:
850
ADDRESS:13613 CYNTHIA LANETELEPHONE:
(858) 748-8012
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:94CENSUS: 26DATE:
07/01/2019
UNANNOUNCEDTIME BEGAN:
03:07 PM
MET WITH:Meghen Alldredge TIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Staff member yelled at day care child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rajani Goudreau arrived at the facility to conduct an unannounced Complaint inspection for the purpose of delivering the finding to the above allegation. Upon arrival, LPA met with Assistant Director, Meghen Alldredge. LPA toured the facility and verified classrooms were within proper Ratio/Capacity. The investigation involved one facility inspection, observations, interviews and records review.

It was alleged a staff member yelled at a day care child. During the investigation, LPA determined the incident in question did occur on May 3rd, 2019 where a staff member reacted to prevent harm to a child in care involving a child poking another child’s eye. Staff admitted to yelling, but explained they were reacting to the situation in fear of the day care child getting hurt and did not act with malicious intent. During the course of the investigation there was conflicting information obtained through interviews and documentation reviewed. Therefore, based on a lack of evidence to support the above allegation LPA is unable to determine a personal rights violation occurred. See continuation page LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019
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 20-CC-20190503113114
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: MY ROOM TO GROW PRESCHOOL
FACILITY NUMBER: 376600804
VISIT DATE: 07/01/2019
NARRATIVE
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 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.

A Notice of Site Visit (LIC 9213) was provided to Assistant Director. This notice is to be posted for thirty (30) days.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2