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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700393
Report Date: 08/20/2024
Date Signed: 08/20/2024 01:54:54 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
08/12/2024 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20240812134308
FACILITY NAME:LINDA VISTA STATE PRESCHOOLFACILITY NUMBER:
376700393
ADMINISTRATOR:MIRIAM ATLASFACILITY TYPE:
850
ADDRESS:2772 ULRIC STREETTELEPHONE:
(858) 800-5450
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:24CENSUS: 18DATE:
08/20/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Miriam AtlasTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not ensure childrens authorized representatives were provided copies of a licensing report that documented a Type A citation
INVESTIGATION FINDINGS:
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On 8/20/24 at 1:00pm, LIcensing Program Analyst Annette Sutherland conducted an unannounced inspection visit for the purpose of delivering findings on the above referenced allegation. During today's visit, there were 18 children with 4 staff in 1 classroom. During the investigation, LPA reviewed relevant documentation and conducted interviews. Based on information obtained, parents were told about the A citation but were not provided a copy of the licensing report a citation that represents an immediate risk to the helath , safety or personal rights of children in care. The preponderance of evidence standard has been met, therefore the above allegation found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D. Exit interview was conducted with Director Miriam Atlas and a Notice of Site Visit was provided. Notice of Site visit was given, posted and will remain posted for 30 days.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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 2
Control Number 51-CC-20240812134308
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: LINDA VISTA STATE PRESCHOOL
FACILITY NUMBER: 376700393
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/20/2024
Section Cited
HSC
1596.8595(c)(1)
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A licensed child day care facility shall provide to the parents...of each child receiving services...copies of any licensing report that documents any Type A citation... This requirement was not met as evidenced by:
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Correction has already been corrected. Director Miriam has since provided report dated 5/8/24 to all parents newly enrolled & previously enrolled.
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Based on interviews, licensee did not ensure that each parent that signed LIC 9224 was provided copy of the licensing report dated 05/08/24, which poses a potential Health, Safety, or 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.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2