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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701220
Report Date: 10/21/2021
Date Signed: 10/21/2021 01:55:09 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
09/03/2021 and conducted by Evaluator Nancy Diaz
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20210903173056
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: 27DATE:
10/21/2021
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Sherrie FosterTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
1. Neglect/Lack of Supervsion.
2. Facility is cluttered.
INVESTIGATION FINDINGS:
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On 10/21/21 @ 12:45PM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection. The purpose of this inspection is to deliver the findings to the above allegations. The initial complaint investigation was conducted by LPA A. Mangina on 9/10/21. Observed present were 27 (napping) children in the following rooms - 10 children in the 2 y.o. room with staff Felecia Blamo and 17 children in the 3 y.o. room with staff Shannon Moule. Throughout the course of the investigation, interviews were conducted of staff and telephone calls were made to parents of children in care. According to staff all children are supervised at all times. Staff interviewed denied that the facility was cluttered. LPA did not observed the facility to be cluttered during inspections. Parents interviewed indicated that their children are supervised at all times. None of the parents interviewed observed the facility to be cluttered.



(CONTINUED)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
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 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
09/03/2021 and conducted by Evaluator Nancy Diaz
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20210903173056

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: 27DATE:
10/21/2021
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Sherrie FosterTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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2
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9
1. Facility is not safe.
2. Facility failed to inform parent of injury.
INVESTIGATION FINDINGS:
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On 10/21/21 @ 12:45pm, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection. The purpose of this inspection is to deliver the findings to the above allegations. The initial complaint investigation was conducted by LPA A. Mangina on 9/10/21. Observed present were 27 (napping) children in the following rooms - 10 children with in the 2 y.o. room with staff Felecia Blamo and 17 children in the 3 y.o. room with staff Shannon Moule. Throughout the course of the investigation, interviews were conducted of staff and telephone calls were made to parents of children in care. Facility is not safe based on the information received. According to staff who were interviewed, the latch to the gate is broken and children were able to open the gate on several ocassion. Staff also stated that the barricades (going upstairs and side yard where old furnitures are stored) are not sturdy and not anchored properly. Children are able to push the barricade open. One parent also expressed concern about the fence that is broken.

Regarding the facility's failure to inform parent of injury, one staff interviewed admitted to not reporting a child's injury to parent at the end of the day.

(CONTINUED)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021
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-20210903173056
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: PLAYHOUSE PRESCHOOL FOREVER YOUNG
FACILITY NUMBER: 376701220
VISIT DATE: 10/21/2021
NARRATIVE
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It was also observed that the fencing has several holes in them that a child can fit through. Also observed were holes in the play area that poses tripping hazards.

Based on the information obtained during interviews with staff and parents and LPA's observation, the preponderance of evidence standard has been met, therefore, the allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1) deficiencies are being cited on the attached LIC 9099D. The Notice of Site Visit was provided, and LPA observed posting. Director was advised that it must remain posted for 30 days. An exit interview was conducted, A copy of this report and Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt.

(CONTINUED)
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 51-CC-20210903173056
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: PLAYHOUSE PRESCHOOL FOREVER YOUNG
FACILITY NUMBER: 376701220
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/30/2021
Section Cited
CCR
101226(a)(2)
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HEALTH RELATED SERVICES. In the case of less serious injuries including, ...minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center.
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Ms. Foster stated that she will conduct a training with staff to talk about reporting requirements to parents regarding injuries. She will have the training in writing and have staff sign it. A copy of this training plan will be submitted to the department by 10/30/2021.
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This requirement was not met as evidenced by:
Based on the interview conducted by LPA, one staff admitted that she forgot to report to the parent of child when child had minor injury. This poses a potential risk to the health, safety or personal rights of children in care.
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Type B
10/30/2021
Section Cited
CCR
101238(a)
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BUILDINGS AND GROUNDS.
The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement was not met as evidenced by:
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The latch to the gate was observed fixed. Ms. Foster stated that she will have a maintenance man fill out the holes in the play yard, repair the fence (patch it) and will anchor the barricades properly. These corrections are due no later than 10/30/2021.
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Based on the interviews conducted with staff/parents and LPA's observation of the facility's physical plant, it was determined that the facility was not safe due to the latch to the fence was broken, fence had holes that a child can fit through, holes in the play area that poses a tripping hazard and the barricades that were not sturdy and not anchored properly. This poses a potential risk to the health, safety and personal rights of 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: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 51-CC-20210903173056
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: PLAYHOUSE PRESCHOOL FOREVER YOUNG
FACILITY NUMBER: 376701220
VISIT DATE: 10/21/2021
NARRATIVE
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Based on the information obtained the allegations are deemed unsubstantiated which means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiencies are cited.

Exit interview was conducted with Sherrie Foster. Appeal rights were discussed. Copy of appeal rights and licensing report was provided. Notice of site visit was provided and observed posted. This notice shall remain posted for 30 days.

(CONTINUED)
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5