376700997-10-18-2023-51-CC-TDAL-CWXVNL-20231025163516

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376700997
Report Date: 10/18/2023
Date Signed: 10/18/2023 01:00:34 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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
08/14/2023 and conducted by Evaluator Selina Siao

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20230814123216

FACILITY NAME:	VINE LEARNING CENTER #2, THE		FACILITY NUMBER:	376700997
ADMINISTRATOR:	SAMANTHA AGUIRRE		FACILITY TYPE:	830
ADDRESS:	6705 LINDA VISTA ROAD		TELEPHONE:	(858) 715-1720
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92111
CAPACITY:	58	CENSUS: 52	DATE:	10/18/2023
		UNANNOUNCED	TIME BEGAN:	12:25 PM
MET WITH:	Samantha Aguirre		TIME COMPLETED:	01:10 PM

ALLEGATION(S):

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Child sustained an unexplainable bruise on the face.

INVESTIGATION FINDINGS:

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On 10/18/2023 at 12:25pm, Licensing Program Analysts (LPAs) Selina Siao and Gerald Poindexter conducted an unannounced inspection to deliver the above complaint finding. The initial inspection was conducted by LPAs on 08/22/2023. Throughout the course of investigation, interviews were conducted with the reporting party, several day care parents and several staff members that works in the infant #1 class. Medical report, public agency interview report and a video footage showing a staff member squeezing and playing with infant #1 cheek repeatedly was reviewed and obtained. The medical report indicates that bruising in non-mobile infants is highly concerning and uncommon as they cannot generate the force required to bruise themselves. The squeezing of infant #1's face, as shown in the video provided, which was described to continue to occur from 08/02/2023 to 08/07/2023. It is an indicative of an inflicted injury bruise due to forceful and inappropriate handling of an infant. Based on preponderance of evidence, the above allegation regarding an infant sustained an unexplainable bruise due to a staff playing and squeezing repeatedly which is a violation of personal rights and the above allegation is substantiated with a type A citation. See LIC9099 cont. on the next page.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 51-CC-20230814123216

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VINE LEARNING CENTER #2, THE	FACILITY NUMBER: 376700997
	VISIT DATE: 10/18/2023

NARRATIVE

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Cont. from LIC9099

LPAs Selina Siao and Gerald Poindexter informed Director Samantha Aguirre that this report dated 10/18/2023 document one Type A citation. Type A citation shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs Selina Siao and Gerald Poindexter informed the Director to provide a copy of this licensing report dated 10/18/2023 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Director. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

LIC9099 (FAS) - (06/04)

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Control Number 51-CC-20230814123216

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VINE LEARNING CENTER #2, THE	FACILITY NUMBER: 376700997
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/18/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 10/23/2023 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	Personal Rights To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, 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; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not	1 2 3 4 5 6 7	Director stated she spoke with all staff members after this incident regarding being gentle with the children in care as she stated that this was not an incident that was intentionally done to hurt the child.
	8 9 10 11 12 13 14	met as evidence by: The squeezing of infant #1's face, as shown in the video provided, which was described to continue to occur from 08/02/2023 to 08/07/2023. It is an indicative of an inflicted injury bruise due to forceful and inappropriate handling of an infant. This poses an immediate health and safety risk to clients in care.	8 9 10 11 12 13 14	Director stated that she will provide the title 22 regulation to staff members regarding personal rights. Director will provide a copy of the staff members sign in sheet along with the agenda to LPA Siao no later than 10/23/2023.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
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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 Daniel	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

LIC9099 (FAS) - (06/04)

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