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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600826
Report Date: 05/02/2019
Date Signed: 05/02/2019 12:45:19 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
02/06/2019 and conducted by Evaluator Selina Siao
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20190206095452
FACILITY NAME:NHA - CHOLLAS VIEW HEAD STARTFACILITY NUMBER:
376600826
ADMINISTRATOR:FERRUSCA, ELIZABETHFACILITY TYPE:
850
ADDRESS:918 NO. 47TH STREETTELEPHONE:
(619) 262-1147
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:45CENSUS: 31DATE:
05/02/2019
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Elizabeth FerruscaTIME COMPLETED:
12:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Staff touched a child inappropriately
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Selina Siao conducted an unannounced inspection to deliver the above complaint finding. The initial inspection was conducted by LPA Siao and Investigator Ernestina Bellucco on 02/11/2019.

The above allegation was investigated by Investigator Ernestina Bellucco. Investigator conducted interviews with several staff members, several day care children and several day care parents. Police and medical reports were obtained and reviewed.

Based on the information available, the allegation of personal rights regarding a staff member at the preschool inappropriately touching a day care child is deemed to be unsubstantiated at this time. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiency was cited.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019
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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