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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105074
Report Date: 07/25/2022
Date Signed: 07/25/2022 04:15:51 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
05/24/2022 and conducted by Evaluator Jennifer Lott
COMPLAINT CONTROL NUMBER: 51-CC-20220524115819
FACILITY NAME:EVERBROOK ACADEMY DBA PRESTIGE PRESCHOOL ACADEMYFACILITY NUMBER:
376105074
ADMINISTRATOR:AIMEE AINSWORTHFACILITY TYPE:
850
ADDRESS:7150 RANCHO SANTA FE ROADTELEPHONE:
(760) 891-0902
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY:146CENSUS: 75DATE:
07/25/2022
UNANNOUNCEDTIME BEGAN:
09:24 AM
MET WITH:Director, Felicia Early TIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff do not provide a safe and healthful environment resulting in a child sustaining injury while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Lott conducted a complaint investigation visit to deliver findings for the above allegation. LPA was greeted at the front door by Director, Felicia Early and was granted entry after identifying herself and disclosing the reason for her visit.

The Department’s investigation consisted of a review of facility and outside source records, interviews with staff and outside sources. It is alleged that on or about May 17, 2022, staff did not provide a safe and healthful environment resulting in a child sustaining injury while in care. Interviews with staff revealed that child #1(C1) had been playing on an outdoor play structure which the manufacturer states is for ages 2 to 5 years old. There were 2 staff assigned to the play structure, however as 1 staff left for break, neither the staff leaving for break, the new staff coming on duty nor the existing staff visually observed C1 climbnig the play structure ladder. C1 climbed up the ladder unnoticed, reached the top and was unable to stretch across to the platform due to their size. C1 fell 5 feet to the ground, (which was made of cushioned material) and sustained injury.
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022
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 3
Control Number 51-CC-20220524115819
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: EVERBROOK ACADEMY DBA PRESTIGE PRESCHOOL ACADEMY
FACILITY NUMBER: 376105074
VISIT DATE: 07/25/2022
NARRATIVE
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Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies are cited per California Code of Regulations, Title 22, Division 6 on the attached 9099D. An exit interview was conducted and report was reviewed with Director, Felicia Early. A notice of site visit was given, and must remain posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20220524115819
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: EVERBROOK ACADEMY DBA PRESTIGE PRESCHOOL ACADEMY
FACILITY NUMBER: 376105074
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/06/2022
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care & Supervision - ..."No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation." This requirement is not met as evidenced by:
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Director states that they will provide an outline of what the training will be and when it will be given within 24 hours and implement the playground supervision policy immediately. Proof of staff training will be submitted via fax or email by 08/22/22.
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Based on interviews conducted, C1 was left without the visual observation of a teacher. C1 climbed up a play structure, was unable to stretch to reach a platform and fell 5 feet to the ground sustaining injury. This poses a potential health and safety risk to children in care.
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**This is an amended version of the original report created on 07/25/2022.
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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.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3