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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700698
Report Date: 08/18/2021
Date Signed: 08/18/2021 12:52:05 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/16/2021 and conducted by Evaluator Jeanette Sanchez
COMPLAINT CONTROL NUMBER: 10-CC-20210816084305
FACILITY NAME:NORTH COAST CHURCH PRESCHOOLFACILITY NUMBER:
376700698
ADMINISTRATOR:MARCIA BOECHEFACILITY TYPE:
850
ADDRESS:2405 NORTH SANTA FE AVENUETELEPHONE:
(760) 330-9200
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:165CENSUS: 80DATE:
08/18/2021
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Director Marcia BoecheTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff are not following PPE guidelines
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jeanette Sanchez made an initial 10-Day unannounced complaint investigation visit to address the above allegation. LPA met with Director Marcia Boeche, for an interview and to discuss complaint allegation.

During this visit, LPA took census, toured and observed the facility. Director was interviewed on this date. During the visit, adults, including staff and visitors, were all wearing masks. Everyone was observed to be following COVID 19 protocols except the children. Per interview with the DIrector, the facility was following recommendations from San Diego County Public Health, and were not aware they were different the CDPH.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance
of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED.

However, the facility is not being cited due to misunderstanding of Public Health recommendations/
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021
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 10-CC-20210816084305
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: NORTH COAST CHURCH PRESCHOOL
FACILITY NUMBER: 376700698
VISIT DATE: 08/18/2021
NARRATIVE
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requirements between County and State policies.

A Technical Assistance Advisory Note (LIC 9102TA) is being issued.

The Notice of Site Visit (LIC 9213) was posted where the parent/guardian of children enter and exit the facility. The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted. A copy of this report was provided to the Director on this date.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2