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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372001274
Report Date: 06/14/2022
Date Signed: 06/14/2022 12:09:27 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, 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
04/12/2022 and conducted by Evaluator Selina Siao
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220412084315
FACILITY NAME:LIFEBRIDGE PRESCHOOL & DAYCARE CENTERFACILITY NUMBER:
372001274
ADMINISTRATOR:JULIE HENDRICKSONFACILITY TYPE:
850
ADDRESS:17645 WEST BERNARDO DRIVETELEPHONE:
(858) 485-5933
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY:142CENSUS: 131DATE:
06/14/2022
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Julie HendricksonTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Unqualified staff being left alone supervising the children
INVESTIGATION FINDINGS:
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On 06/14/2022 at 10:25am, Licensing Program Analyst (LPA), Selina Siao, conducted an unannounced inspection to deliver the above complaint finding. The initial inspection was conducted by LPA Siao on 04/19/2022.
Throughout the course of investigation, interviews were conducted with several staff members and several day care parents. Based on LPA’s interviews the preponderance of evidence standard has been met, that one of the teacher aide has been observed alone supervising children at the end of the day therefore the above allegation reagarding a teacher aide being alone supervising children is found to be substantiated. California Code of Regulations, title 22, Division 12 & Chapter 1 101216.2(e) is being cited on the attached LIC 9099D.”
Appeal Rights (1/16) were discussed and provided. Notice of Site Visit was posted during this visit and will remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022
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 51-CC-20220412084315
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: LIFEBRIDGE PRESCHOOL & DAYCARE CENTER
FACILITY NUMBER: 372001274
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/15/2022
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:
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Director stated that the teacher aide will no longer be left alone until she is registered for another child development class. Director stated that she will submit a memo to all staff member to remind them of the
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one of the teacher aide has been left alone supervising a few children towards the end of the day. This poses a potential health and safety risk to clients in care.
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duties that is allow for a teacher aide. Director will submit a copy of the memo to LPA no later 06/15/2022.
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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: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022
LIC9099 (FAS) - (06/04)
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