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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701118
Report Date: 10/27/2022
Date Signed: 10/27/2022 09:22:48 AM

Unsubstantiated


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
08/19/2022 and conducted by Evaluator Grace Curtis
COMPLAINT CONTROL NUMBER: 51-CC-20220819160026
FACILITY NAME:MAAC EARLY HEAD START - WESTLAKEFACILITY NUMBER:
376701118
ADMINISTRATOR:LEILA EBTEKARIFACILITY TYPE:
830
ADDRESS:415 AUTUMN DRIVETELEPHONE:
(760) 631-2695
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:18CENSUS: 8DATE:
10/27/2022
UNANNOUNCEDTIME BEGAN:
08:17 AM
MET WITH:Leila EbtekariTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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9
Daycare child bitten multiple times by daycare children.
INVESTIGATION FINDINGS:
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On October 27, 2022 at 8:17 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced inspection to deliver the findings on the complaint allegation referenced above. Upon arrival LPA met with Director Leila Ebtekari and proceeded to tour the facility. There were 8 children present with 4 staff members. Appropriate ratio/capacity was observed. Staff members have the required background clearances and are associated to the facility.

The initial complaint investigation was conducted by LPA Curtis on 8/25/22. Throughout the course of investigation, interviews were conducted with the complainant, several employees and several parents. Facility records were obtained and reviewed. The information obtained was contradictory to the allegation. Based on this information, the allegation is determined to be unsubstantiated which means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged incident or violation occurred at the facility.

No deficiencies are cited.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022
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 5
Control Number 51-CC-20220819160026
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: MAAC EARLY HEAD START - WESTLAKE
FACILITY NUMBER: 376701118
VISIT DATE: 10/27/2022
NARRATIVE
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An exit interview was conducted with Director Ebtekari and Appeal Rights (LIC 9058) were discussed. A copy of this report as well as a copy of the appeal rights were given to the director. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post Notice of Site Visit.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022
LIC9099 (FAS) - (06/04)
Page: 2 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
08/19/2022 and conducted by Evaluator Grace Curtis
COMPLAINT CONTROL NUMBER: 51-CC-20220819160026

FACILITY NAME:MAAC EARLY HEAD START - WESTLAKEFACILITY NUMBER:
376701118
ADMINISTRATOR:LEILA EBTEKARIFACILITY TYPE:
830
ADDRESS:415 AUTUMN DRIVETELEPHONE:
(760) 631-2695
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:18CENSUS: 8DATE:
10/27/2022
UNANNOUNCEDTIME BEGAN:
08:17 AM
MET WITH:Leila EbtekariTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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9
Facility does not ensure a safe environment due to not addressing biting issue of children.
INVESTIGATION FINDINGS:
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On October 27, 2022 at 8:17 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced inspection to deliver the findings on the complaint allegation referenced above. Upon arrival LPA met with Director Leila Ebtekari and proceeded to tour the facility. There were 8 children present with 4 staff members. Appropriate ratio/capacity was observed. Staff members have the required background clearances and are associated to the facility.

The initial complaint investigation was conducted by LPA Curtis on 8/25/22. Throughout the course of investigation, interviews were conducted with the complainant, several employees and several parents. Facility records were obtained and reviewed. Based on interviews conducted by LPA and a record review a daycare child (C1) bit other daycare children several times during the 2021-2022 and the current 2022-2023 school year before a Behavior/Classroom Management Plan was put into place on 10/4/22. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED, California Code of Regulations, Title 22, 101223(a)(2) is being cited on the attached LIC 9099D.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 51-CC-20220819160026
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: MAAC EARLY HEAD START - WESTLAKE
FACILITY NUMBER: 376701118
VISIT DATE: 10/27/2022
NARRATIVE
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An exit interview was conducted with Director Ebtekari and Appeal Rights (LIC 9058) were discussed. The director's signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 51-CC-20220819160026
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: MAAC EARLY HEAD START - WESTLAKE
FACILITY NUMBER: 376701118
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/04/2022
Section Cited
CCR
101223(a)(2)
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101223(a)(2) Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights. (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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A Behavior/Classroom Management Plan is now in place for C1. The director states that she will submit a signed and dated written plan outlining what immediate steps will be taken upon noticing that a child has a biting or behavioral issue. The plan will also include when the steps will be taken. The director will submit this plan via email by 11/4/22.
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Based on LPA interviews and record review facility staff did not ensure the safety of daycare children when a daycare child (C1) bit other children during the 2021-2022 and current 2022-2023 school year before a Behavior Management Plan was put into place for C1 on 10/4/22. This poses a potential health and safety risk to the 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: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5