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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700009
Report Date: 07/21/2026
Date Signed: 07/21/2026 02:52:28 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
05/18/2026 and conducted by Evaluator Mahjoba Mohsini
COMPLAINT CONTROL NUMBER: 51-CC-20260518090634
FACILITY NAME:TSUMIKIFACILITY NUMBER:
376700009
ADMINISTRATOR:MIHO TAKAHASHIFACILITY TYPE:
850
ADDRESS:4811 MOUNT ETNA DRIVETELEPHONE:
(858) 571-7000
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:40CENSUS: 31DATE:
07/21/2026
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Maasa IshikawaTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff speak inappropriately to day care children in care.
INVESTIGATION FINDINGS:
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On 7/21/26 at 1:25 PM, Licensing Program Analyst, LPA Mahjoba Mohsini made an unannounced complaint visit for the complaint received on 5/18/26 for the purpose of delivering findings on the above referenced allegation. Upon arrival, LPA met with the facility representative Maasa Ishikawa and observed 31 napping children in the Hall Room with 3 staff (Mai Okazaki, Maasa Ishikawa and Miho Takahashi).
Facility is within ratio and capacity.

It was alleged that staff speak inappropriately to day care children in care. During the investigation, LPA conducted interviews with staff, parents, and children regarding the allegation. Parents interviewed were generally satisfied with the care provided by the facility. Parents and staff described the program as structured with an emphasis on promoting children’s independence.

However, interviews also revealed concerns regarding the manner in which some staff communicate with children and that some staff communicated in a blunt or critical manner.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keturah Lane
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
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-20260518090634
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: TSUMIKI
FACILITY NUMBER: 376700009
VISIT DATE: 07/21/2026
NARRATIVE
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Several interviews revealed Staff (S1) often questioned children why they were not able to complete task in the same manner as another child and made critical comments regarding children’s perceived abilities.

Based on the information obtained during the interviews, LPA determined there is sufficient evidence to support the allegation that staff spoke inappropriately to children in care. Therefore, the allegation is substantiated.

A type B deficiency is being cited on the accompanying LIC 9099D.

Exit interview conducted and report was reviewed with the facility representative Maasa Ishikawa. Appeals rights were discussed and provided. A notice of site visit was given and must remain posted for 30 days
SUPERVISORS NAME: Keturah Lane
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 51-CC-20260518090634
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: TSUMIKI
FACILITY NUMBER: 376700009
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/21/2026
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights
(a)The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule...This requirement was not met as evidenced by:
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Facility Representative, Maasa Ishikawa stated that facility will conduct training on the topic of Title 22 Personal Rights and provide meeting agenda, with the attendance sheet to LPA via email by 8/21/2026.
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Based on interviews, three individuals reported witnessing (S1) using inappropriate or demeaning language when speaking to children regarding the children’s perceived abilities, which violates the children’s Personal Rights to be free from humiliation and verbal abuse, which is a potential health, safety and personal rights risk to 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.
SUPERVISOR'S NAME: Keturah Lane
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3