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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701447
Report Date: 05/25/2022
Date Signed: 05/25/2022 10:00:51 AM

Substantiated


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
03/16/2022 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220316074911
FACILITY NAME:HSHMC CHILD CARE CENTERFACILITY NUMBER:
376701447
ADMINISTRATOR:KEELIE BAUMANFACILITY TYPE:
830
ADDRESS:3910 UNIVERSITY AVENUE STE 100TELEPHONE:
(619) 255-9546
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:8CENSUS: 1DATE:
05/25/2022
UNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH:Keelie BaumanTIME COMPLETED:
09:20 AM
ALLEGATION(S):
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Uncleared Adult Working at the Center
INVESTIGATION FINDINGS:
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On May 25, 2022 at 08:57 AM AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection to deliver findings on the above allegation. LPA advised Director Keelie Bauman of the inspection’s purpose and was granted facility entry. Present were one (1) infant (age 7 months) with two (2) teachers and one (1) aide.

The investigation involved document reviews and a facility tour. It also involved interviews with staff, parents and witnesses.

The director stated that the facility is not operated by a school district through the California Department of Education. Director said Staff 1 (S1) has worked at the center since 03/09/2022. The director stated S1 completed a criminal record clearance only through Health Sciences High & Middle College (HSHMC) prior to working in the facility. (See LIC 811 Confidential Names).

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
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 7
Control Number 20-CC-20220316074911
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: HSHMC CHILD CARE CENTER
FACILITY NUMBER: 376701447
VISIT DATE: 05/25/2022
NARRATIVE
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Based on conducted interviews, record reviews, the director stated S1 conducted a criminal record clearance only with HSHMC and S1 did not submit a criminal record clearance with the Department until this complaint investigation, the preponderance of evidence standard has been met, therefore the above allegation of an uncleared adult working at the facility is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 Chapter 1) is being cited on the attached LIC 9099D. The civil penalty of $500 has been assessed. See Civil Penalty Assessment (LIC 421BG) for detailing information.

LPA Legaspi informed Director Keelie Bauman that this report, dated 05/25/2022 documents one (1) Type A citation, shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Jo Ann Legaspi informed Director Bauman to provide a copy of this licensing report dated 05/25/2022 that documents the Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. LPA provided Director Bauman with a blank LIC 9224 form.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Licensee/Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to the Director Bauman. Exit interview was conducted and report was reviewed with the Director Keelie Bauman.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 7 of 7
Control Number 20-CC-20220316074911
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: HSHMC CHILD CARE CENTER
FACILITY NUMBER: 376701447
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2022
Section Cited
CCR
101170(e)(1)
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Criminal Record Clearance – “…. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working ... in a licensed facility: …Obtain a California clearance or a criminal record exemption as required by the Department …” This requirement is not met as
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The director submitted S1’s criminal record clearance to the Department and has associated S1 to the facility. Director provided LPA with a written statement describing the steps the facility will now take to ensure all new staff have criminal record clearances submitted
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evidenced by: S1’s fingerprints were not submitted to the Department to the facility until after this complaint investigation. Based on interviews and record reviews, Licensee failed to submit S1’s fingerprints to the Department prior to working in the facility, which poses as an immediate health & safety risk to children in care.

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to the Department prior to working in the facility. This deficiency has been cleared.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 7
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
03/16/2022 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220316074911

FACILITY NAME:HSHMC CHILD CARE CENTERFACILITY NUMBER:
376701447
ADMINISTRATOR:KEELIE BAUMANFACILITY TYPE:
830
ADDRESS:3910 UNIVERSITY AVENUE STE 100TELEPHONE:
(619) 255-9546
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:8CENSUS: 1DATE:
05/25/2022
UNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH:Keelie BaumanTIME COMPLETED:
09:20 AM
ALLEGATION(S):
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Menus are not posted at least one week in advance in an area accessible for review by parents;

Disaster drills have not been conducted in six months.

INVESTIGATION FINDINGS:
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On May 25, 2022 at 8:57 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection to deliver findings on the above complaint allegations. LPA advised Director Keelie Bauman of the meeting’s purpose and was granted facility entry. Present were one (1) infants with two (2) teachers and one (1) aide.

The investigation involved a facility tour, record reviews, observations of staff and children, interviews with staff, daycare parents and witnesses.

It was alleged that menus are not posted at least one week in advance in an area accessible for review by parents and disaster drills have not been conducted in six months. The director reports that menus are posted and disaster drills have been conducted in six months. Due to conflicting statements and obtained information, the allegations that menus are not posted on a weekly basis and disaster drills are not conducted in six months have been determined to be unsubstantiated. A finding that the complaint is Unsubstantiated means that

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 20-CC-20220316074911
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: HSHMC CHILD CARE CENTER
FACILITY NUMBER: 376701447
VISIT DATE: 05/25/2022
NARRATIVE
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 although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

A notice of site visit was given and must remain posted for 30 days. Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to Director Bauman. Exit interview conducted and report was reviewed with the Director Keelie Bauman.


SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 7