376700798-8-11-2021-51-CC-RPAK-C6936H-20210825175822

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376700798
Report Date: 08/11/2021
Date Signed: 08/11/2021 02:01:07 PM

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
06/02/2021 and conducted by Evaluator Joelle Redding

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20210602084937

FACILITY NAME:	CHINESE BILINGUAL PRE-SCHOOL		FACILITY NUMBER:	376700798
ADMINISTRATOR:	NANCY SHEN		FACILITY TYPE:	850
ADDRESS:	5075 RUFFIN ROAD		TELEPHONE:	(858) 633-2950
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92123
CAPACITY:	90	CENSUS: 38	DATE:	08/11/2021
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Facility Designee Toby Hsu		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Staff hit day care child

INVESTIGATION FINDINGS:

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On 8/11/2021, Licensing Program Analyst (LPA), Joelle Redding, made an unannounced visit to deliver findings on the above-referenced allegation.

Based on LPA's observation of the facility, interviews with relevant parties and pertinent document review, the evidence obtained does not substantiate or disprove the allegation. Therefore, it is 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. No deficiencies are cited.

Appeal Rights were provided and discussed. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted and will remain posted for 30 day.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021

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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