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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701141
Report Date: 06/08/2020
Date Signed: 06/08/2020 02:15:49 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
04/01/2020 and conducted by Evaluator Selina Siao
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20200401131916
FACILITY NAME:ABC CHILDREN'S CENTER AT SAN DIEGO-INFANTFACILITY NUMBER:
376701141
ADMINISTRATOR:WELTY-HAZIM, NICOLEFACILITY TYPE:
830
ADDRESS:12145 ALTA CARMEL COURT #270TELEPHONE:
(858) 451-1663
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:20CENSUS: 5DATE:
06/08/2020
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Pooja Sharma/Administrator TIME COMPLETED:
01:55 PM
ALLEGATION(S):
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Infants are commingling with toddlers
INVESTIGATION FINDINGS:
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At 1:10pm on 06/08/2020, Licensing Program Analyst (LPA) Selina Siao, contacted the facility to deliver the above complaint finding. Due to COVID-19, a tele-inspection was conducted using Face Time to tour the facility. The initial inspection was conducted on 04/08/20. Throughout the course of investigation, interviews were conducted with the reporting party, several employees and several parents. Records were obtained and reviewed related to the above allegation. Administrator Pooja Sharma stated that a 20 months old toddler from the Tigers class was placed with in the infant classroom after COVID-19 pandemic, as she thought all children under 24 months can be together due to the County's Health Orders. Administrator stated that she had obtained written consent from the parent. Based on documents obtained and interviews conducted, the preponderance of evidence standard has been met that facility placed a toddler into the infant class without written consent from the parent. The above allegation is found to be SUBSTANTIATED, Health and Safety Code, 1596.956(a)(6) is being cited on the attached LIC 9099D.
Appeal Rights (1/16) were discussed and provided. Facility was advised to post the Notice of Site Visit and failure to keep the posting will result in $100 civil penalty. Analyst read the report to facility representative during the tele-inspection. A copy of the report will be e-mailed to the facility and was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020
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-20200401131916
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: ABC CHILDREN'S CENTER AT SAN DIEGO-INFANT
FACILITY NUMBER: 376701141
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/10/2020
Section Cited
HSC
1596.956(a)(6)
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Child day care centers serving infants; optional toddler program; departmental guidelines and regulations: The toddler program shall be conducted in areas separate from those used by older or younger children...
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Administrator Pooja Sharma stated that she disagrees with the finding. As she stated that she provided an updated admission agreement to the parents on 3/17/2020. She said that the document that she provided to the department shows the parent's handwriting with the parent's initials and was dated 03/17/2020.
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This requirement was not met as evidence by documents obtained from the facility with signature dated 2019. Interviews conducted also indicated that facility moved a toddler into the infant program without written consent from the parent after COVID-19. This poses a potential health and safety risk to clients 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: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
04/01/2020 and conducted by Evaluator Selina Siao
COMPLAINT CONTROL NUMBER: 51-CC-20200401131916

FACILITY NAME:ABC CHILDREN'S CENTER AT SAN DIEGO-INFANTFACILITY NUMBER:
376701141
ADMINISTRATOR:WELTY-HAZIM, NICOLEFACILITY TYPE:
830
ADDRESS:12145 ALTA CARMEL COURT #270TELEPHONE:
(858) 451-1663
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:20CENSUS: 5DATE:
06/08/2020
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Pooja Sharma/Administrator TIME COMPLETED:
01:55 PM
ALLEGATION(S):
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Facility is operating out of ratio
INVESTIGATION FINDINGS:
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At 1;10pm on 06/08/2020, Licensing Program Analyst (LPA) Selina Siao, contacted the facility to deliver the above complaint finding. Due to COVID-19, a tele-inspection was conducted using Face Time to tour the facility. The initial inspection was conducted on 04/08/20. Throughout the course of investigation, interviews were conducted with the reporting party, several employees and several parents. Infant staff members denied being alone with more than 4 infants after COVID-19. Based on the inconsistent information obtained during the investigation, the allegation is considered to be Unsubstantiated and no deficiencies is cited.
Appeal Rights (1/16) were discussed and provided. Facility was advised to post the Notice of Site Visit and failure to keep the posting will result in $100 civil penalty. Analyst read the report to Adminstrator during the tele-inspection. A copy of the report will be e-mailed to the Administratot and was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020
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 3