376105244-9-11-2026-51-CC-JREG-DXYNBT-20260916101936

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376105244
Report Date: 09/01/2026
Date Signed: 09/11/2026 09:59:41 AM

Unsubstantiated

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
06/15/2026 and conducted by Evaluator Jennifer Irving

COMPLAINT CONTROL NUMBER: 51-CC-20260615175118

FACILITY NAME:	NESE KIDS CARE RAMONA		FACILITY NUMBER:	376105244
ADMINISTRATOR:	KRISTIN MEADOR		FACILITY TYPE:	860
ADDRESS:	2291 MAIN STREET		TELEPHONE:	(760) 787-0612
CITY:	RAMONA	STATE: CA	ZIP CODE:	92065
CAPACITY:	102	CENSUS: 55	DATE:	09/01/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Kristin Meador		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff inappropriately communicate in front of parents and daycare children
Staff leave daycare children in soiled clothing
Daycare child sustained diaper rash due to staff neglect
Staff are operating out of ratio

INVESTIGATION FINDINGS:

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THIS IS AN AMENDED VERSION OF AN ORIGINAL REPORT DELIVERED ON 9/1/26.
On 9/1/26, at 1:00pm., Licensing Program Analyst (LPA) Jennifer Irving conducted an unannounced complaint inspection at the facility for the purpose of delivering findings regarding the above-referenced allegations. LPA met with Director Kristin Meador and explained the purpose of the inspection. There were 55 children in care with 12 staff present.

During the investigation, LPA toured the facility, interviewed the director, staff, and parents, and reviewed information related to classroom staffing, staff communication, diapering practices, toileting accidents, and children’s personal-care needs.
Regarding the allegation that the facility operated out of ratio, the investigation revealed that staff monitored classroom attendance and used qualified teachers, aides, floaters, substitute employees, and administrators to provide classroom coverage. Conflicting statements were obtained regarding the availability of additional classroom support. Interviews and records reviewed did not identify a specific date

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Jennifer Irving
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2026

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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Control Number 51-CC-20260615175118

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: NESE KIDS CARE RAMONA	FACILITY NUMBER: 376105244
	VISIT DATE: 09/01/2026

NARRATIVE

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THIS IS AN AMENDED REPORT DELIVERED ON 9/1/26.
or period when the facility failed to maintain the required teacher-child ratio.

Regarding the allegation that staff left a daycare child in soiled clothing, staff described procedures for regularly checking and changing diapers, responding to toileting accidents, maintaining children’s hygiene, documenting infant care, and communicating with families. One isolated toileting accident was reported; however, the investigation did not establish that the child remained in soiled clothing for an unreasonable period or that staff routinely failed to respond to children’s personal-care needs.

Regarding the allegation that a daycare child sustained diaper rash due to staff neglect, interviews revealed that staff routinely checked and changed children’s diapers and documented infant care. Staff reported notifying parents of concerns and applying diaper products when provided and authorized. Conflicting information was obtained regarding the cause and duration of the reported diaper rash. The investigation did not establish that the diaper rash resulted from staff failing to provide appropriate diapering care.

Regarding the allegation that staff communicated inappropriately in front of parents and children, conflicting statements were obtained concerning comments and conversations involving facility staff and management. Some individuals expressed concerns regarding the tone or content of workplace communications, while others reported that staff communicated appropriately around children and families. The investigation did not establish that staff made inappropriate statements in the presence of children or parents that adversely affected children’s care, safety, or personal rights.

Based on the information obtained, the allegations that the facility operated out of ratio, staff left a daycare child in soiled clothing, a daycare child sustained diaper rash due to staff neglect, and staff communicated inappropriately in front of parents and children are determined to be UNSUBSTANTIATED. Although the allegations may have occurred or may be valid, the preponderance-of-evidence standard was not met to establish that the alleged violations occurred.

No deficiencies were cited as a result of this complaint investigation.

An exit interview was conducted with Director Kristin Meador. This report was reviewed, and a copy was provided. A Notice of Site Visit was provided and must remain posted for 30 days.

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Jennifer Irving
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2026

LIC9099 (FAS) - (06/04)

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