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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701227
Report Date: 08/03/2020
Date Signed: 08/03/2020 10:39:23 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
05/06/2020 and conducted by Evaluator Keturah Lane
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20200506145554
FACILITY NAME:CHILDREN'S CHOICE ACADEMYFACILITY NUMBER:
376701227
ADMINISTRATOR:SHANNON SPENCERFACILITY TYPE:
840
ADDRESS:12464 WOODSIDE AVENUETELEPHONE:
(619) 561-8880
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY:24CENSUS: 0DATE:
08/03/2020
UNANNOUNCEDTIME BEGAN:
10:14 AM
MET WITH:Shannon SpencerTIME COMPLETED:
10:16 AM
ALLEGATION(S):
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Authorized representative not informed daily when medications are given to child.
INVESTIGATION FINDINGS:
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On 8/3/2020 at 10:14 AM Licensing Program Analyst (LPA) Keturah Lane conducted an announced Complaint tele-inspection due to COVID-19 State of Emergency (SOE) to deliver findings regarding the above allegation. LPA Lane met with Director Shannon Spencer. Census was: 0 children in room Monsters (School age). Facility was temporarily closed on 7/30/2020 for 14 days due to a possible exposure to COVID-19.

The Department fully investigated the above allegation and obtained information from the facility file review, incident reports, children’s records, staff records, facility records, documents provided to parents from Director, interviews with complainant, staff members, and parents of enrolled children. It was found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove that the authorized representative was not notified when the child was given medication daily. The allegation is therefore UNSUBSTANTIATED. (continued on LIC9099C...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2020
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 2
Control Number 51-CC-20200506145554
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: CHILDREN'S CHOICE ACADEMY
FACILITY NUMBER: 376701227
VISIT DATE: 08/03/2020
NARRATIVE
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An exit interview was conducted with the Director. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) will be sent along with the report (LIC9099) via e-mail to the Licensee. Licensee will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights.

The Notice of Site Visit (LIC9213) must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2