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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105113
Report Date: 11/29/2022
Date Signed: 11/30/2022 02:02:30 PM

Unsubstantiated


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
09/28/2022 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220928093934
FACILITY NAME:CLAIREMONT CANYONS ACADEMY STATE PRESCHOOLFACILITY NUMBER:
376105113
ADMINISTRATOR:VICTORIA PETERSONFACILITY TYPE:
850
ADDRESS:4133 MT ALBERTINE AVENUETELEPHONE:
(619) 605-1350
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:24CENSUS: 20DATE:
11/29/2022
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Victoria PetersonTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
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9
Facility staff member handled day care child in a rough manner.
Facility staff member made an inappropriate comment to day care child.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
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13
On 11/30/22 at 1:45 PM Licensing Program Analysts (LPA)s Adrian Mangina and Keturah Lane conducted an unannounced complaint visit for the complaint received on 9/28/22 for the purpose of delivering findings on the above reference allegations.

Based on the information obtained during interviews, observations, and documentation reviewed LPA was unable to corroborate the allegations that facility staff member handled day care child in rough manner and facility staff member made innapproriate comments to daycare child. LPA interviewed all four staff present on the day of the alleged incident and 13 other adults associated with the classroom and none witnessed the alleged incidents. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the above allegations are found to be Unsubstantiated. Exit interview conducted and report was reviewed with the facility representative Victoria Peterson. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
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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