376701387-5-12-2022-20-CC-JGAY-CGCJTM-20220715072011

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701387
Report Date: 05/12/2022
Date Signed: 05/12/2022 11:16:46 AM

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
03/28/2022 and conducted by Evaluator Michelle Hood

COMPLAINT CONTROL NUMBER: 20-CC-20220328091841

FACILITY NAME:	CHILDRENS CREATIVE AND PERFORMING ARTS ACADEMY		FACILITY NUMBER:	376701387
ADMINISTRATOR:	IVETTE MARTINEZ		FACILITY TYPE:	850
ADDRESS:	3076 HOWARD AVENUE		TELEPHONE:	(619) 584-2454
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92104
CAPACITY:	28	CENSUS: 8	DATE:	05/12/2022
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Ivette Martinez, Licensee		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff are not providing day care children appropriate supervision.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 05/12/2022 at 10:50 am, Licensing Program Analysts (LPAs) Michelle Hood and Cindy Meier conducted an unannounced complaint inspection and met with the Director. LPAs disclosed the purpose of the inspection and were granted entry into the facility by the staff LaKisha Davis. LPA Meier toured the facility. Eight (8) pre-school children with one (1) staff were present in the facility during this inspection.

During the investigation, interviews were conducted with the licensee, director, staff, daycare children, daycare parents and witnesses. Based on the interviews conducted with the licensee, director, staff, daycare children, daycare parents and witnesses stated daycare children are supervised by staff. The facility serves pre-school children ages 2.5 - 4.5 years in one preschool classroom. The facility may serve up to 12 school-age children. The combined capacity shall not exceed a total of 28 children.

Due to conflicting statements obtained during the investigation, the above allegation was found to be UNSUBSTANTIATED meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

The director was provided appeal rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. Notice of site visit was provided to the director and must remain posted for 30 days. An exit interview was conducted, and the report was reviewed with the director Ivette Martinez.
No deficiencies cited.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022

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 3