376701136-8-2-2021-20-CC-TVUU-C625PR-20210818200819

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701136
Report Date: 08/02/2021
Date Signed: 08/02/2021 11:33:59 AM

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
05/25/2021 and conducted by Evaluator JoAnn R Legaspi

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20210525150332

FACILITY NAME:	NEWBREAK PLAYSCHOOL		FACILITY NUMBER:	376701136
ADMINISTRATOR:	TAFOYA, THEA		FACILITY TYPE:	850
ADDRESS:	4694 CAPE MAY AVENUE		TELEPHONE:	(858) 576-0007
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92107
CAPACITY:	45	CENSUS: 29	DATE:	08/02/2021
		UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	Thea Tafoya		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff did not properly supervise daycare children while in care

INVESTIGATION FINDINGS:

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On August 2nd, 2021 at 9:23 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a complaint inspection to conclude the investigation regarding the above allegation. LPA advised Director Thea Tafoya of the inspection’s purpose and was granted facility entry.

The facility serves preschool children ages 2 years to 5 years. There were twenty nine (29) children supervised by five (5) teachers and one (1) support staff.

It was alleged that staff did not properly supervise daycare children while in care. Licensing, facility and outside source records were reviewed. Collateral witnesses, facility staff, a prior facility staff member, daycare children and daycare parents were interviewed. Observations of the classroom and playground was conducted.

Due to conflicting information received during the course of the investigation, the allegation that staff did not properly supervise daycare children while in care has been determined to be unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021

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 20-CC-20210525150332

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: NEWBREAK PLAYSCHOOL	FACILITY NUMBER: 376701136
	VISIT DATE: 08/02/2021

NARRATIVE

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A finding that the complaint is unsubstantiated means 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. No deficiencies cited.

A Notice of Site Visit (LIC 9213) is to be posted for thirty (30) days. LPA provided this document to Director Tafoya, who stated this document will be publicly posted.
An exit interview was conducted with Director Tafoya. Licensee/Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to staff and their signature on this form confirms receipt of these rights.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021

LIC9099 (FAS) - (06/04)

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