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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600804
Report Date: 05/12/2020
Date Signed: 05/12/2020 03:53:56 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
03/25/2020 and conducted by Evaluator Grace Curtis
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20200325101502
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: 14DATE:
05/12/2020
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Marina SragoviczTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Licensee is not adhering to the payment provision of the admission agreement.
INVESTIGATION FINDINGS:
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Covid-19 State of Emergency
On May 12, 2020 at 3:00 p.m. Licensing Program Analyst Leilani Curtis conducted an unannounced inspection via Zoom for the purpose of delivering the findings for the above allegation. It was alleged that the Licensee is not adhering to the payment provision of the admission agreement. The initial tele-visit was conducted by LPA Curtis on 04/06/2020. During today's inspection LPA Curtis met with Director, Marina Sragovicz and toured the facility. Also present were 14 children (in two groups) outside on the playground with staff Paul Torres and Daisy Perez. In the course of this investigation LPA interviewed the Director and Complainant. The Admission Agreement, Parent Handbook and several parent emails were obtained and reviewed.

Based on interviews conducted and documents reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, 101219(f) is being cited on the attached LIC 9099D. A copy of this report as well as a copy of the appeal rights were emailed to the Director at the conclusion of the interview. The Director will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights. The Director will post the Notice of Site Visit and it must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 51-CC-20200325101502
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
05/19/2020
Section Cited
CCR
101219(f)
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Admission Agreements : (f) The licensee shall comply with all terms and conditions set forth in the admission agreement. This requirement was not met as evidenced by:
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The Director states that she has created a new Admission Agreement and Parent Handbook which states that the facility can close due to unusual circumstances and charge two weeks tuition. It also states that a new deposit fee may be required to hold the child's spot.
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Based on interview's conducted by LPA with the Director and Complainant as well as record/document reviews, the Director did not comply with all terms and conditions stated in the admission agreement. This poses a potential health and safety risk to children in care.
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The Director will forward a copy of the new Admissions Agreement and Parent Handbook via email to LPA by 5/19/20. The Director understands that she must adhere to the Admissions Agreement/Parent Handbook and provide 30 days notice when changes are made.
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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: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2020
LIC9099 (FAS) - (06/04)
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