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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334845053
Report Date: 12/09/2022
Date Signed: 12/09/2022 12:09:09 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/16/2022 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20221116095212
FACILITY NAME:ALEXA'S PLAYCFACILITY NUMBER:
334845053
ADMINISTRATOR:FARA BOWLESFACILITY TYPE:
850
ADDRESS:25170 HANCOCK AVENUETELEPHONE:
(858) 966-8555
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:32CENSUS: 19DATE:
12/09/2022
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Felicia SeverhillTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Unqualified staff is providing care and supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to conclude an investigation into the above allegation. LPA initiated the investigation with a visit conducted on 11/18/22 and extended it at that time. LPA toured the facility and conducted census on this date (12/09/22). It was alleged that in November 2022 prior to Veteran's Day that an unqualified staff was left alone inside a classroom with children without a qualified teacher being present. During the course of this investigation LPA conducted interviews with staff. It was disclosed by staff that an unqualified teacher was left alone inside the Giraffe classroom with children on or about November 9th or 10th of 2022. The information received from the interviews will substantiate the above allegation. Although the staff member was not qualified the finding does not rise to the level of a Type "A" deficiency as there was no imminent danger to children who were present. This will result in a Type "B" deficiency. SEE LIC 9099D.

An exit interview was conducted, A Notice of Site Visit was posted, appeal rights discussed and provided along with a copy of this report to this facility on this date.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2022
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 10-CC-20221116095212
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: ALEXA'S PLAYC
FACILITY NUMBER: 334845053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/23/2022
Section Cited
CCR
101216.2(e)
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Teacher Aide Qualifications and Duties - An aide shall work only under the direct supervision of a teacher. This requirement was not met as evidenced by a staff member who was not a qualified teacher being left alone supervising children without a qualified teacher being present.

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Director, Gabriela Padilla agrees to submit in writing on how the facility will remain in compliance with unqualified staff not being left alone with children.
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This is a potential risk to the health and safety of children in care.
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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.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2