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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372005101
Report Date: 08/22/2025
Date Signed: 09/10/2025 11:19:57 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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
08/19/2025 and conducted by Evaluator Mahjoba Mohsini
COMPLAINT CONTROL NUMBER: 51-CC-20250819090140
FACILITY NAME:CARMEL MOUNTAIN PRESCHOOLFACILITY NUMBER:
372005101
ADMINISTRATOR:DONNA TACONIFACILITY TYPE:
850
ADDRESS:9510 CARMEL MOUNTAIN ROADTELEPHONE:
(858) 484-4877
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:249CENSUS: 135DATE:
08/22/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Karina BarrettTIME COMPLETED:
03:05 PM
ALLEGATION(S):
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Staff do not ensure the children are properly signed in and out daily
INVESTIGATION FINDINGS:
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THIS IS AN AMENDED VERSION OF THE ORIGINAL REPORT.
On 8/22/2025 1:00 p.m. LPAs Mahjoba Mohsini and Nancy Diaz conducted an unannounced visit to investigate a complaint received on 8/19/25 regarding the above allegation. LPAs met with facility representatives Carol Fugleberg (resource manager) and Karina Barrett (director's assistant). LPAs toured the facility and observed 135 children with 37 staff. Facility is within capacity and ratio.

LPAs interviewed staff, obtained documents and reviewed records. Information obtained indicate there have been several days where parents have not signed children in and/or out. The allegation is valid because the preponderance of evidence has been met. Therefore, the allegation is substantiated. A Type B deficiency is cited on the accompanying LIC 9099D.

Exit interview was conducted, report was reviewed, and a copy of the report was provided to the facility representatives.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keturah Lane
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
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 4
Control Number 51-CC-20250819090140
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CARMEL MOUNTAIN PRESCHOOL
FACILITY NUMBER: 372005101
VISIT DATE: 08/22/2025
NARRATIVE
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INTENTIONALLY LEFT BLANK
SUPERVISORS NAME: Keturah Lane
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 51-CC-20250819090140
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CARMEL MOUNTAIN PRESCHOOL
FACILITY NUMBER: 372005101
VISIT DATE: 08/22/2025
NARRATIVE
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INTENTIONALLY LEFT BLANK
SUPERVISORS NAME: Keturah Lane
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 51-CC-20250819090140
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CARMEL MOUNTAIN PRESCHOOL
FACILITY NUMBER: 372005101
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/22/2025
Section Cited
CCR
101229.1
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101229.1 Sign In and Sign Out
(a) In addition to the sign-in procedure requirement... a minimum, include the following:
(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.
This requirement was not met as evidenced by:
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Director's Assistant, Karina Montoya states the facility will notify all the parents and issue penalties for not following required sign in and sing out procedures to avoid future occurences.
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Based on records reviewed (sing in, sing out sheet) 10 percent of parents who signed their children in did not sign them out.
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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: Joelle Redding
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4