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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700376
Report Date: 05/25/2022
Date Signed: 05/25/2022 04:11:25 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
03/11/2022 and conducted by Evaluator Tyra Block
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220311134949
FACILITY NAME:CENTER FOR CHILDREN & FAMILIES AT CAL STATE SMSFACILITY NUMBER:
376700376
ADMINISTRATOR:LETISIA FORDFACILITY TYPE:
850
ADDRESS:453 LA MOREE ROADTELEPHONE:
(760) 750-8750
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY:176CENSUS: 109DATE:
05/25/2022
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Letisia FordTIME COMPLETED:
03:55 PM
ALLEGATION(S):
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Children's personal rights violated
Complaints to administration about staff mistreating children has not lead to any results or improvement
INVESTIGATION FINDINGS:
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On 5/25/22, Licensing Program Analyst (LPA), Tyra Block, made an unannounced complaint visit for the complaint received on 3/11/22 for the purpose of delivering findings on the above referenced allegation. Present at the center were 109 children with 19 staff. All staff were associated and had criminal background clearance.
LPA Block interviewed several staff, children, and parents and reviewed alleged staff records, including incidents reports, trainings, and coaching history. Based on the information obtained during interviews and documentation reviewed it is determined that, the allegation is SUBSTANTIATED. Statements and record review show staff #1 had a history of speaking to children inappropriately and not meeting the individual needs of children. The allegation is valid because the preponderance of the evidence has been met. California Code of Regulations, (Title 22, Division 12, Chapter 1) the deficiency is being cited on the attached LIC 9099D. The Notice of Site Visit was provided. Licensee is advised it must remain posted for 30 days. An exit interview was conducted with director, Letisia Ford. A copy of this report and Appeal Rights (1/16) were discussed and provided.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
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 3
Control Number 51-CC-20220311134949
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: CENTER FOR CHILDREN & FAMILIES AT CAL STATE SMS
FACILITY NUMBER: 376700376
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2022
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights:The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment... humiliation, intimidation, ridicule... mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting...This requirement was not met as evidenced by:
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Alleged staff was put on Leave of Absence and ultimately terminated.
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Based on interviews and review of documentation staff violated children's personal rights on multiple occasions. This is an immediate health and safety risk to children in care.
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Type B
05/25/2022
Section Cited
CCR
101216(e)(3)
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101216(e)(3) Personnel Requirements: All personnel shall be given on-the-job training in the areas listed below, or shall have related experience... Such training or experience shall be... evidenced by safe and effective job performance. Provision of child care and supervision, including communication. This requirement was not met as evidenced by:
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Training was provided to all staff on Positive Culture, Intentional Interactions, Positive Relationships, and Class Management in July and October 2021. Additionally, alleged staff was terminated.
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Based on interviews and review of documentation staff was not in compliance after receiving coaching and training in the area of communication. Staff was terminated subsequent to complaint investigation by licensing. This is a potential risk to the health and safety of children 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.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20220311134949
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: CENTER FOR CHILDREN & FAMILIES AT CAL STATE SMS
FACILITY NUMBER: 376700376
VISIT DATE: 05/25/2022
NARRATIVE
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 Upon Receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3