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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701061
Report Date: 04/17/2023
Date Signed: 04/17/2023 03:00:39 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
04/10/2023 and conducted by Evaluator Keturah Lane
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20230410152525
FACILITY NAME:VINE LEARNING CENTER, THEFACILITY NUMBER:
376701061
ADMINISTRATOR:ANA LOPEZFACILITY TYPE:
850
ADDRESS:2130 ULRIC STREETTELEPHONE:
(858) 974-1222
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:108CENSUS: 57DATE:
04/17/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Ana LopezTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Allegation: Staff did not provide adequate supervision resulting in a child being unsupervised for several minutes at the facility.
INVESTIGATION FINDINGS:
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On 4/17/23 at 9:30 AM, Licensing Program Analysts (LPAs) Keturah Lane and Gerald Poindexter conducted an unannounced initial 10-day visit for the complaint received on 4/10/23 regarding the above allegation. Upon arrival, LPAs met with Ana Lopez and toured the facility. Census was as follows:

Classroom Monkeys: 17 children with staff members Janet Cintora, Ebone Singleton & Elizabeth Carpio
Classroom Ladybugs: 12 children with staff members Angie Hernandez & Gabina Merlin
Classroom Bumblebees: 9 children with staff members Mariah Ossmen & Maria Cabrera
Classroom Butterflies: 13 children with staff members Daneila Navaretta & Michelle Tucker
Classroom Dragonflies: 6 children with staff member Martha Patricia Villalba
(continued on LIC9099-C...)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023
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-20230410152525
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: VINE LEARNING CENTER, THE
FACILITY NUMBER: 376701061
VISIT DATE: 04/17/2023
NARRATIVE
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During this visit LPAs conducted interviews with children and staff, made a confidential names list and received a copy of the children’s roster, personnel roster, and other documents. Facility submitted an unusual incident report to the Department that stated a child (C1) was left unattended at the facility for several minutes. Based upon information LPAs obtained during interviews with children, staff and the unusual incident report the facility submitted, it is determined that child (C1) was left unsupervised for several minutes at the facility. The allegation is valid because a preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. See LIC9099-D for Type A deficiency cited.

LPAs Keturah Lane and Gerald Poindexter facility representative Director Ana Lopez that this report dated 4/17/23 documents one Type A citation which 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 Keturah Lane and Gerald Poindexter informed the facility representative to provide a copy of this licensing report dated 4/17/23 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 facility representative Ana Lopez. A notice of site visit was provided and must remain posted for 30 days.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20230410152525
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: VINE LEARNING CENTER, THE
FACILITY NUMBER: 376701061
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/17/2023
Section Cited
CCR
101229(a)(1)
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THIS IS AN AMENDED REPORT - 101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the child’s needs. (1) No child shall be left without the supervision of a teacher at any time…Supervision shall include visual observation. This requirements was not met as evidenced by…
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Director stated they are implementing a new name to face form for transitioning children from playground to classroom, etc...and training was done on an individual basis with all staff. Director submitted agenda and sign-in sheets for the training to LPAs at time of visit on 4/17/23.
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Based upon staff interviews and facility’s unusual incident report, the licensee did not ensure child (C1) was supervised and was left alone for several minutes which is an immediate health, safety and personal rights risk to 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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
LIC9099 (FAS) - (06/04)
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