<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600992
Report Date: 09/27/2023
Date Signed: 09/27/2023 09:49:33 AM

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
09/05/2023 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20230905165344
FACILITY NAME:NHA URBAN VILLAGE II HEAD STARTFACILITY NUMBER:
376600992
ADMINISTRATOR:BRENDA PATTYFACILITY TYPE:
850
ADDRESS:4305 UNIVERSITY AVENUE STE 107TELEPHONE:
(619) 284-5644
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:88CENSUS: 44DATE:
09/27/2023
UNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Brenda PattyTIME COMPLETED:
09:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not ensure facility has a sink in food preparation area
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On September 27, 2023, at 7:30 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection to conclude the investigation on the above allegation. LPA advised Director Brenda Patty of the meeting’s purpose and was granted facility entry.

It was alleged that the Licensee did not ensure facility had a sink in the food preparation area. The investigation involved facility tours, interviews conducted with the Director, staff members, children, and daycare parents. On 09/11/2023, LPA observed the facility’s kitchen sink was removed and missing from the kitchen. Interviewed staff stated that they left the facility for their summer break in July 2023 and upon their return in mid - late August 2023, they observed the facility’s kitchen sink was removed from the kitchen.

Based on LPA’s observations and conducted staff interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED, California Code of Regulations, (Title 22, Division 12 Chapter 1) is being cited on the attached LIC 9099D.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
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 5
Control Number 20-CC-20230905165344
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: NHA URBAN VILLAGE II HEAD START
FACILITY NUMBER: 376600992
VISIT DATE: 09/27/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
A notice of site visit was given to facility representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Licensee/Appeal Rights (LIC 9058) was provided to Director Patty. Exit interview conducted and report was reviewed with the Director Brenda Patty.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 20-CC-20230905165344
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: NHA URBAN VILLAGE II HEAD START
FACILITY NUMBER: 376600992
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/27/2023
Section Cited
CCR
101227(a)(22)(A)
1
2
3
4
5
6
7


(a)(22)(A) – (a) In childcare centers providing meals to children, the following shall apply … (22) Equipment necessary for the … service of food ... shall be provided, and shall be well-maintained. Necessary equipment shall include … (A) Sink.
This requirement is not met as evidenced by:

1
2
3
4
5
6
7


The new kitchen sink was installed on or about 09/17/2023. On 09/27/2023, LPA observed the sink installed in the facility kitchen. This deficiency has been cleared.
8
9
10
11
12
13
14

Based on staff interviews and observations, the Licensee did not comply with the section cited above in that there was no kitchen sink in the facility which poses as a potential health, safety, or personal rights risk to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
09/05/2023 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20230905165344

FACILITY NAME:NHA URBAN VILLAGE II HEAD STARTFACILITY NUMBER:
376600992
ADMINISTRATOR:BRENDA PATTYFACILITY TYPE:
850
ADDRESS:4305 UNIVERSITY AVENUE STE 107TELEPHONE:
(619) 284-5644
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:88CENSUS: DATE:
09/27/2023
UNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Brenda PattyTIME COMPLETED:
09:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Food is being prepared in an unsanitary manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On September 27, 2023, at 7:30 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection to conclude the complaint investigation regarding the above allegation. LPA advised Director Brenda Patty of the meeting’s purpose and was granted facility entry.

The investigation involved facility tours, observations, interviews with the Director, staff members, children, and daycare parents. It was alleged that food is being prepared in an unsanitary manner. Staff reported that children’s meals are prepared off site at the facility agency kitchen before being delivered to the facility. Once at the facility, staff transfers food to the carts which are then taken to the individual classroom with disposable utensils, cups, and bowls for the children. Clean metal spoons are used for additional food transfer for additional servings to children. Staff stated they clean these metal spoons in the bins of water located in the janitor’s closet because there was no kitchen sink.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 20-CC-20230905165344
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: NHA URBAN VILLAGE II HEAD START
FACILITY NUMBER: 376600992
VISIT DATE: 09/27/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
There is no corroborating evidence. Due to conflicting obtained information, the allegation that food is being prepared in an unsanitary manner has been determined to be unsubstantiated. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

A notice of site visit was given to facility representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Licensee/Appeal Rights (LIC 9058) was provided to Director Patty. Exit interview conducted and report was reviewed with the Director Brenda Patty.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5