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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105058
Report Date: 10/24/2023
Date Signed: 10/24/2023 03:50:31 PM

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
08/02/2023 and conducted by Evaluator Saraliz Velando
COMPLAINT CONTROL NUMBER: 51-CC-20230802142439
FACILITY NAME:DOT TO DOTFACILITY NUMBER:
376105058
ADMINISTRATOR:ERICA CASTANEDAFACILITY TYPE:
850
ADDRESS:5550 CARMEL MOUNTAIN ROAD #113TELEPHONE:
(858) 207-7949
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:105CENSUS: 76DATE:
10/24/2023
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Erica CastanedaTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff are not reporting incidents to Community Care Licensing.
INVESTIGATION FINDINGS:
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On 10/24/23, Licensing Program Analyst (LPA) Saraliz Velando conducted an unannounced visit for the purpose of delivering findings for a complaint received on 8/2/23. LPA met with the Director, Erica Castaneda and toured the facility. There were 16 staff and 76 preschool children present.

Parent interviews, staff interviews, and file reviews were conducted. Based on the information obtained, the facility did not report an injury within seven days of occurrence, in which medical attention was sought. The preponderance of the evidence has been met and therefore, the above allegation is found to be SUBSTANTIATED.

The deficiency is cited on the attached LIC9099-D.

The exit interview was conducted with director, Erica Castaneda. Appeal Rights and licensing report were reviewed with the Director. A notice of site visit was provided and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
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
Citations on this Visit Report are Under Appeal!

Control Number 51-CC-20230802142439
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: DOT TO DOT
FACILITY NUMBER: 376105058
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
11/03/2023
Section Cited
CCR
101212(d)(1)(B)
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Upon the occurrence, during the operation of the child care center of any of the events specified…a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report… shall be submitted to the Department within seven days following the occurrence of such event. This requirement was not met as evidenced by:
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Licensee will conduct a staff meeting regarding reporting requirements by 11/3/23 and submit attendance sheet to the department.
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Based on file review and interviews, the licensee did not report an incident within 7 days in which medical atention was sought. This posed 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: Renesha Askew
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2