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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700175
Report Date: 06/20/2024
Date Signed: 06/20/2024 02:49:16 PM

Substantiated


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
05/09/2024 and conducted by Evaluator Patrick Ma
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20240509091139
FACILITY NAME:CHILDREN'S PRESCHOOL & LEARNING CENTERFACILITY NUMBER:
376700175
ADMINISTRATOR:ERICKSON, RENEEFACILITY TYPE:
830
ADDRESS:13168 POWAY ROADTELEPHONE:
(858) 748-5519
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:25CENSUS: 8DATE:
06/20/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Renee EricksonTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are not following safe sleep guidelines
INVESTIGATION FINDINGS:
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On 6/20/24 at 11:30AM, LPA Patrick Ma made an unannounced complaint visit for the complaint received on 5/9/24 for the purpose of continuing investigation and delivering findings on the above reference allegations. LPA observed classroms and conducted staff interviews.

Based on the information obtained during investigation interviews with staff and parents it is determined that there have been occasions infants under 12 months have been placed or permitted to sleep on their sides or stomach prior to their LIC 9227 section C completed by parents.

The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegations are found to be SUBSTANTIATED. The deficiency is being cited on the attached LIC 9099D.
Exit interview conducted and report was reviewed with the Director Renee Erickson. A notice of site visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
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 4
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
05/09/2024 and conducted by Evaluator Patrick Ma
COMPLAINT CONTROL NUMBER: 51-CC-20240509091139

FACILITY NAME:CHILDREN'S PRESCHOOL & LEARNING CENTERFACILITY NUMBER:
376700175
ADMINISTRATOR:ERICKSON, RENEEFACILITY TYPE:
830
ADDRESS:13168 POWAY ROADTELEPHONE:
(858) 748-5519
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:25CENSUS: 8DATE:
06/20/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Renee EricksonTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
Staff is using inappropriate sleeping equipment
Children are being swaddled while in care
INVESTIGATION FINDINGS:
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On 6/20/24 at 11:30AM, LPA Patrick Ma made an unannounced complaint visit for the complaint received on 5/9/24 for the purpose of continuing investigation and delivering findings on the above reference allegations. LPA observed classroms and conducted staff interviews.

Based on the information obtained during investigation interviews with staff and parents it is determined that Boppy pillows are not being used as infant sleeping equipment. Investigation interviews report Boppy pillows are used at the center for bottle feeding, interactive “Tummy time”, and support infants learning to sit up. Infants have fallen asleep on Boppy pillows but are removed in 1-2 minutes and placed in a crib. Also, interviews conducted provided insufficient and conflicting statement regarding children swaddled during nap. During site observations on 5/17/24 and 6/20/24, children were not observed swaddled and and 2 infants under 12 months asleep on their stomach had LIC 9227 section C signed and on file.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 51-CC-20240509091139
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: CHILDREN'S PRESCHOOL & LEARNING CENTER
FACILITY NUMBER: 376700175
VISIT DATE: 06/20/2024
NARRATIVE
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Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred, therefore the above allegation is found to be Unsubstantiated.

Exit interview conducted and report was reviewed with the Director Renee Erickson. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 51-CC-20240509091139
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: CHILDREN'S PRESCHOOL & LEARNING CENTER
FACILITY NUMBER: 376700175
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/19/2024
Section Cited
CCR
101430(3)(A)
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101430(3)(A) Infant Care Activities: Staff shall place infants up to 12 month of age on their backs for sleeping. This requirement is not met as evidenced by:
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Director stated she will review and retrain all infant staff on Infant sleep regulations and provide proof of training by providing an outline or summary of training with signatures of all infant staff participation and provide to the Department by 7/19/24.
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Based on the information obtained during investigation interviews with staff and parents it is determined that there have been occasions infants under 12 months have been permitted to sleep on their sides or stomach prior to their LIC 9227 section C completed which poses/posed a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4