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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701220
Report Date: 04/07/2022
Date Signed: 04/07/2022 12:34:48 PM

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
02/22/2022 and conducted by Evaluator Michael Morales-DeSilvestore
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220222110530
FACILITY NAME:PLAYHOUSE PRESCHOOL FOREVER YOUNGFACILITY NUMBER:
376701220
ADMINISTRATOR:SHERRIE FOSTERFACILITY TYPE:
850
ADDRESS:7045 FORUM STREETTELEPHONE:
(858) 279-2016
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:78CENSUS: 30DATE:
04/07/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Shelly McDoleTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility did not provide appropriate first aid.
Staff denied day care child from using restroom.
Staff did not change day care child into proper clothing.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/7/22 Licensing Program Analyst Michael Morales-DeSilvestore made an unannounced complaint visit for the complaint received on 2/22/22 for the purpose of delivering findings on the above referenced allegations. During the visit, there were 30 children with 4 staff members.

Based on the information obtained during interviews, observations, and documentation reviewed 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. Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted and will remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022
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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