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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700148
Report Date: 02/10/2020
Date Signed: 02/10/2020 02:21:47 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
11/23/2019 and conducted by Evaluator Elise Read
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20191123233811
FACILITY NAME:LA JOLLA YMCA-LA JOLLA ELEMENTARYFACILITY NUMBER:
376700148
ADMINISTRATOR:NADINE RUIZFACILITY TYPE:
840
ADDRESS:1111 MARINE STREETTELEPHONE:
(858) 454-9422
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:75CENSUS: 0DATE:
02/10/2020
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Tami TharpTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff restrained day care child
Staff hit day care child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elise Read conducted an unannounced complaint inspection for the purpose of delivering the findings to the above allegations. Upon arrival, LPA met with Tami Tharp to discuss the reason for visit. At the time of the inspection there were no children in care, as school is dismissed at 2:40PM. During the investigation, LPA conducted 2 facility inspections, staff interviews, parent interviews, child interviews, and a thorough record review. LPA also obtained additional documents from the facility.

During the investigation, staff stated that the child was restrained during the reported incident. Although the staff did restrain the child, it does not constitute a personal rights violation. Staff acted appropriately given the situation. The staff restrained the child for the child’s own safety, and no injuries resulted from the incident. Since the incident, staff have taken appropriate action to support and ensure the safety of the child. The staff denied ever hitting the child and throughout the investigation, no statements were made to support this allegation by any other parties interviewed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020
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-20191123233811
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: LA JOLLA YMCA-LA JOLLA ELEMENTARY
FACILITY NUMBER: 376700148
VISIT DATE: 02/10/2020
NARRATIVE
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Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

A Notice of Site Visit (LIC 9213) was provided and is to be posted for thirty (30) days from today’s date. No deficiencies were cited. An exit interview was conducted with the Licensee and a copy of this report, along with the appeal rights (LIC 9058), were provided. Licensee’s signature on this form acknowledges receipt of these rights.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2