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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700625
Report Date: 06/16/2022
Date Signed: 06/20/2022 10:08:04 AM

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
06/08/2022 and conducted by Evaluator Patrick Ma
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220608150740
FACILITY NAME:BORREGO SPRINGS STATE PRESCHOOLFACILITY NUMBER:
376700625
ADMINISTRATOR:MARTHA DEICHLERFACILITY TYPE:
850
ADDRESS:1315 PALM CANYON DRIVETELEPHONE:
(760) 767-5333
CITY:BORREGO SPRINGSSTATE: CAZIP CODE:
92004
CAPACITY:24CENSUS: 16DATE:
06/16/2022
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Sherlynn PolancoTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide adequate supervision that resulted in child injury.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 *** THIS IS AN AMENDED REPORT PROVIDED ON 6/20/22 ***

On 6/16/22 at 11:15AM, Licensing Program Analysts (LPAs) Patrick Ma and Tyra Block conducted an unannounced complaint investigation and delivered findings regarding the above allegations. LPAs met with Principal Sherrilynn Polanco upon arrival and toured the facility. Total census was 16 children (one child was in the office) with 6 staff. LPAs observed preschool children preparing to eat lunch in the class. From 11:45 AM – 1:45 PM, LPAs conducted staff and children’s interviews, and reviewed files.

It was alleged staff did not provide adequate supervision that resulted in child injury. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the above allegation is found to be Unsubstantiated. Report was reviewed with the facility representative Sherrilynn Polanco, Principal. A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022
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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