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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105029
Report Date: 01/12/2022
Date Signed: 01/12/2022 03:42:38 PM

Document Has Been Signed on 01/12/2022 03:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:VINE LEARNING CENTER, THEFACILITY NUMBER:
376105029
ADMINISTRATOR:EMMA DUENASFACILITY TYPE:
850
ADDRESS:2048 DRESCHER ST-6752 N ELMANTELEPHONE:
(858) 598-5070
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 20DATE:
01/12/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Emmad Duenas, Center DirectorTIME COMPLETED:
02:45 PM
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On 01/12/22 at about 01:15 PM, Licensing Program Analysts (LPAs) Daniel Pena and Keturah Lane conducted an unannounced Case Management inspection. LPAs were greeted at the front of the facility by Center Director, Emma Duenas and granted entry after identifying themselves and disclosing the purpose of their visit. The census on the day of this inspection was twenty (20) children and three (3) staff, plus Director Duenas.

The visit was initiated due to a self-reported incident involving Staff #1(S1) unprofessional conduct leading to their termination and S1's accusation that Staff #2 (S2) mistreated children in care. The Director was provided the LIC811 Confidential Names to identify S1 and S2. A licensee authorized representative reported the incident by submitting form LIC 624 – Unusual Incident/Injury Report to Community Care Licensing (CCL), which was received in our office on 12/27/2021.

During today’s visit, LPAs conducted a tour of the center conducted interviews, and requested child and staff records. Based on today’s visit, no deficiencies were observed at this time. An exit interview was conducted and this report was reviewed with Director Duenas.

A notice of site visit was given to Ms. Duenas and she was advised that it must remain posted for 30 days.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Daniel Pena
LICENSING EVALUATOR SIGNATURE: DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/12/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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