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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700175
Report Date: 09/19/2019
Date Signed: 09/19/2019 11:00:17 AM



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
07/02/2019 and conducted by Evaluator Rajani Goudreau
COMPLAINT CONTROL NUMBER: 51-CC-20190702104845
FACILITY NAME:CHILDREN'S PRESCHOOL & LEARNING CENTERFACILITY NUMBER:
376700175
ADMINISTRATOR:ANOUSH TENCATIFACILITY TYPE:
830
ADDRESS:13168 POWAY ROADTELEPHONE:
(858) 748-5519
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:25CENSUS: 13DATE:
09/19/2019
UNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Anoush TencatiTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Staff failed to properly report outbreak
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 findings to the above allegation. Upon arrival, LPA met with Anoush Tencati, Director. LPA toured the facility and verified classrooms were within proper Ratio/Capacity limitations. The investigation involved two facility inspections, observations, interviews and records review.

It was alleged the staff failed to properly report an outbreak. During file review and staff interviews, LPA determined there was an outbreak of hand, foot and mouth disease between 06/10/19 and 06/14/19 where six children were diagnosed with the disease. Based on staff admission, it was determined the outbreak was not reported to the Department. Based on staff admission, staff interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC 9099D. See LIC9099-C continuation page…
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2019
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 5
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
07/02/2019 and conducted by Evaluator Rajani Goudreau
COMPLAINT CONTROL NUMBER: 51-CC-20190702104845

FACILITY NAME:CHILDREN'S PRESCHOOL & LEARNING CENTERFACILITY NUMBER:
376700175
ADMINISTRATOR:ANOUSH TENCATIFACILITY TYPE:
830
ADDRESS:13168 POWAY ROADTELEPHONE:
(858) 748-5519
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:25CENSUS: 13DATE:
09/19/2019
UNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Anoush TencatiTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Staff failed to keep the facility free from outbreak
Staff failed to keep the facility free from pests
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 a finding to the above allegation. Upon arrival, LPA met with Anoush Tencati, Director. LPA toured the facility and verified classrooms were within proper Ratio/Capacity limitations. Through the course of the investigation, LPA conducted two facility inspections, interviews and record review.

The Department received a complaint alleging staff failed to keep the facility free from an outbreak and staff failed to keep the facility free from pest. During staff and parent interviews, LPA determined six children were diagnosed with hand, foot and mouth disease between 06/10/19 and 06/14/19. Based on staff interviews, LPA concluded the center put in place measures to contain the outbreak of hand, foot and mouth disease by cleaning and sanitizing the two infant classrooms every day for the month of 06/2019. However, LPA was unable to determine if the measures were sufficient to prevent the further spreading of hand, foot and mouth disease. In addition, based on staff and parent interviews, LPA received inconsistent information regarding the facility having an insect infestation. During staff interviews, LPA concluded there were ants observed in the classrooms on multiple undetermined dates. See LIC9099A-C continuation page...
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: 09/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 51-CC-20190702104845
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: 09/19/2019
NARRATIVE
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 The center was sprayed outside for inspects by a pest control company and the center was sprayed inside by staff members in 07/2019. On 07/10/19, during facility visit, LPA observed one ant near the infant snack area.
Based on interviews and observations, LPA was unable to determine if the measures put into place were effective enough to reduce or eliminate the ants inside the center. 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 to licensee. LPA informed Director the notice of site visit is to be posted for thirty (30) days from today’s date. An exit interview was conducted with Director. Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to Director and their signature on this form confirms receipt of these rights. LPA observed Director post notice of site visit.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2019
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 51-CC-20190702104845
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: 09/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2019
Section Cited
CCR
101212(d)(1)(E)
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(d)Upon the occurrence …specified in (d)(1)below,a report shall be made to the Department by telephone or fax within the Department's next working day…a written report…shall be submitted…within seven days following the occurrence...(1)Events reported shall include...:(E)Epidemic outbreaks.This requirement was not met as evidenced by:
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LPA discussed with Director the reporting requirements. Director acknowledges understand of the reporting requirements and agrees to follow the reporting requirements and time frames at all times. LPA and Director developed a plan of correction to ensure the reporting requirements are followed in the future.
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based on record review & staff admission,there was an outbreak of hand,foot & mouth disease between 06/10/19 and 06/12/19 where six children in the infant classrooms got the disease and the outbreak was not reported to the Department, which poses a potential health and safety risk to children in care.
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Director indicated she and assistant Director will watch the following video titled: Child Care Reporting Requirements on CCLD.CA.Gov and provide a summary of the video to the Department by 10/18/19.
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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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 51-CC-20190702104845
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: 09/19/2019
NARRATIVE
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Facility was cited one type B violation during today’s visit. LPA provided the following to Director: LIC9099, LIC9099C, LIC9099-D and appeal rights (LIC 9058). LPA informed Director notice of site visit must be posted for 30 days. LPA observed director post the Notice of Site Visit during inspection.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 5