376701328-8-10-2021-20-CC-JGAY-C5SV5M-20210811160809

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701328
Report Date: 08/10/2021
Date Signed: 08/10/2021 02:27:31 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
08/09/2021 and conducted by Evaluator Casey Gulley

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20210809141423

FACILITY NAME:	RISING STAR PRESCHOOL		FACILITY NUMBER:	376701328
ADMINISTRATOR:	CONCEPCION FLORES		FACILITY TYPE:	830
ADDRESS:	3054 FAIRMOUNT AVENUE		TELEPHONE:	(619) 213-9356
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92105
CAPACITY:	18	CENSUS: 8	DATE:	08/10/2021
		UNANNOUNCED	TIME BEGAN:	12:51 PM
MET WITH:	Concepcion Flores		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

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Staff did not follow proper reporting requirements for a daycare child while in care.

INVESTIGATION FINDINGS:

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On 08/10/21 at 12:51pm, Licensing Program Analyst (LPA) Casey Gulley conducted an unannounced inspection to deliver complaint findings for the above allegations. LPA Gulley met with Concepcion Flores and discussed the purpose of the inspection. It was alleged that Staff did not follow proper reporting requirements for a daycare child while in care.

During the course of the investigation, LPA Gulley conducted an unannounced tele-inspection. Interviews were conducted with multiple daycare parents, facility staff, social worker and licensee. Staff denied allegation and stated children are screened daily and any concerns are documented and discussed with parent or guardian. Staff documented minor bruising to Child #1’s (C1) wrist and nose on 4/1/21 and 4/29/21, but didn’t feel the injuries were out of the ordinary for the child’s age. A review of medical records and photos indicate C1’s injuries were non-specific, in that, they could have been caused by either accident or inflicted trauma.
(Continue on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Casey Gulley	TELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2021

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-20210809141423

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: RISING STAR PRESCHOOL	FACILITY NUMBER: 376701328
	VISIT DATE: 08/10/2021

NARRATIVE

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Based on conflicting evidence, LPA is unable to determine if C1’s injuries were significant or unusual enough for a reasonable person to suspect abuse and therefore, be subject to mandated reporter requirements. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A copy of today's report, Notice of Site Visit and Appeal Rights were given to the Concepcion. An exit interview was conducted with Concepcion Flores and Flores stated that families will be notified via Brightwheel if there are concerns. Notice of Site Visit shall be posted for 30 days from today's date. LPA observed the director post the notice during the inspection.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Casey Gulley	TELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2021

LIC9099 (FAS) - (06/04)

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