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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701342
Report Date: 09/26/2019
Date Signed: 09/26/2019 12:47:57 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
07/01/2019 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20190701133259
FACILITY NAME:DELMAR HIGHLANDS KINDERCARE PRESCHOOLFACILITY NUMBER:
376701342
ADMINISTRATOR:LORENA ARIZAGAFACILITY TYPE:
850
ADDRESS:12863 EL CAMINO REALTELEPHONE:
(858) 794-7710
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:68CENSUS: 41DATE:
09/26/2019
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Assistant Director Johana Gongora-BaltazarTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Lack of Supervision - Lack of supervision resulting in a day-care child scratching another day-care child while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Jo Ann Legaspi conducted the inspection to deliver the complaint investigation findings to the above allegation. LPA met with the Facility Representative Gongora-Baltazar. It is alleged that due to a lack of supervision, a day care child sustained a scratch on the face from another day care child with a pencil. Through the course of the investigation, LPA conducted several interviews with the staff, several children, and several day care parents. LPA could not interview the child in question as the child no longer attends the facility. LPA also reviewed pertinent information. Per the staff interviews, they do not recall any such incident regarding a child scratching another child with a pencil. According to the facility’s incident/accident report, the child in question did receive a scratch on the left cheek while at the facility on or about November 13, 2017. However, there was conflicting evidence and no witnesses to corroborate the above allegation. 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 allegation is unsubstantiated.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
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-20190701133259
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: DELMAR HIGHLANDS KINDERCARE PRESCHOOL
FACILITY NUMBER: 376701342
VISIT DATE: 09/26/2019
NARRATIVE
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No deficiency cited today. An exit interview was conducted and a copy of the report, Notice of Site Visit and the Appeal Rights were provided to the Representative. LPA observed the Representative post the Notice of Site Visit in a prominent place.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2