376701134-1-12-2022-51-CC-TDAL-CAU25M-20220119160541

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701134
Report Date: 12/16/2021
Date Signed: 01/12/2022 05:58:38 PM

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
10/11/2021 and conducted by Evaluator Tyra Block

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20211011102609

FACILITY NAME:	SILVERMAN GINSBURG INFANT CENTER		FACILITY NUMBER:	376701134
ADMINISTRATOR:	AMY STANLEY		FACILITY TYPE:	830
ADDRESS:	6660 COWLES MOUNTAIN BOULEVARD		TELEPHONE:	(619) 697-1948
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92119
CAPACITY:	40	CENSUS: 17	DATE:	12/16/2021
		UNANNOUNCED	TIME BEGAN:	02:31 PM
MET WITH:	Jamie Nadel and Jen Lowe		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Infant room is not a safe environment.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 12/16/21 Licensing Program Analyst (LPAs), Tyra Block and Nancy Diaz made an unannounced complaint visit for the complaint received on 10/11/21 for the purpose of delivering findings on the above referenced allegation. Present today were 17 children and 8 staff (Rm#7 3:6, Rm#6 2:5, Rm#5 1:2, Rm#4 2:4).

It was alleged the infant room is not safe. LPAs toured the room and observed specific items discussed by the R/P. Based on the information obtained during interviews and observations it is determined that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
Exit interview was conducted with facility representative, appeal rights (1/16) were discussed and provided. Notice of Site Visit was posted and must remain posted for 30 days.

This report has been amended so that it is marked PUBLIC.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra Block	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021

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 3