376701275-3-26-2021-20-CC-TVUU-BZWMTZ-20210409095420

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701275
Report Date: 03/26/2021
Date Signed: 03/26/2021 10:16:02 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
01/21/2021 and conducted by Evaluator JoAnn R Legaspi

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20210121144312

FACILITY NAME:	KIDS DEPOT OF OTAY RANCH		FACILITY NUMBER:	376701275
ADMINISTRATOR:	AIMEE BOIRI		FACILITY TYPE:	830
ADDRESS:	1394 EAST PALOMAR STREET #210		TELEPHONE:	(619) 656-0506
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	44	CENSUS: 23	DATE:	03/26/2021
		UNANNOUNCED	TIME BEGAN:	09:48 AM
MET WITH:	Cathy Edwards		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Daycare child sustained unexplained bruising while in care

INVESTIGATION FINDINGS:

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On March 26th, 2021 at 9:48 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection to conclude the investigation regarding the above allegation. LPA advised Assistant Director Cathy Edwards of the meeting’s purpose. Due to the COVID 19 outbreak, this inspection was done as a tele visit via the FaceTime platform. There were twenty three (23) infants supervised by ten (10) staff.

It was alleged that a daycare child sustained unexplained bruising while in care. Photographs, Medical, licensing, facility and outside source reports were reviewed. Video tours of the facility and observations of staff and children were completed. Law enforcement, Child Welfare Services, forensic medical staff, facility staff, and daycare parents were interviewed. The child’s parents and staff denied knowledge of the precipitating incident which resulted in the child’s bruise. The facility’s classroom and playground videos were reviewed. The camera’s viewpoints in both the room and playground are fixed and do not show all portions of the classroom or playground.

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: 03/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021

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-20210121144312

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: KIDS DEPOT OF OTAY RANCH	FACILITY NUMBER: 376701275
	VISIT DATE: 03/26/2021

NARRATIVE

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Based on the information obtained during the course of the investigation, there was no evidence or witnesses to corroborate or support the bruise on the child’s left inner ear occurred at the facility or in the home. Whether the bruise was sustained at the facility or in the home remains unknown. The allegation that a daycare child sustained bruising while in care has been determined to be Unsubstantiated. 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 will electronically provide this document to staff.

An exit interview was conducted. A copy of this report and Licensee/Appeal Rights (LIC 9058) will be e-mailed to staff. Staff was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours..

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021

LIC9099 (FAS) - (06/04)

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