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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701291
Report Date: 11/29/2022
Date Signed: 11/29/2022 02:06:36 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
09/22/2022 and conducted by Evaluator Gloria Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220922090950
FACILITY NAME:KID VENTURES EASTLAKE PRESCHOOLFACILITY NUMBER:
376701291
ADMINISTRATOR:NORMA CHANGFACILITY TYPE:
850
ADDRESS:851 SHOWROOM PLACE, SUITE 101TELEPHONE:
(619) 730-4020
CITY:CHULA VISTASTATE: CAZIP CODE:
91914
CAPACITY:30CENSUS: 16DATE:
11/29/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Norma ChangTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff did not properly supervise day care child resulting in injuries
INVESTIGATION FINDINGS:
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On November 29, 2022 at 1:30 pm Licensing Program Analyst, (LPA), Gloria Gonzalez conducted an inspection to deliver complaint findings. LPA met with Director, Norma Chang. LPA observed 16 daycare children and 2 staff members at the time of this inspection.
 
During the course of this investigation, interviews were conducted with the Reporting Party, Licensee, Director, staff members, daycare children, and daycare parents. Staff stated daycare children are properly supervised. Staff stated that on 9/16/22 child #1 (C1) was going down the slide and tripped on the blanket on her way down, resulting in a scratch on the cheek and a cut on the lip. Based on interviews and records review, there is insufficient evidence that staff did not properly supervise daycare child resulting in injuries. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the above allegation is found to be unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022
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 20-CC-20220922090950
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: KID VENTURES EASTLAKE PRESCHOOL
FACILITY NUMBER: 376701291
VISIT DATE: 11/29/2022
NARRATIVE
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No deficiencies cited.

A copy of this report, notice of site visit (LIC 9213), and appeal rights (LIC 9058) was provided to Director, Norma Chang. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.An exit interview was conducted with Director, Norma Chang.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2