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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700997
Report Date: 03/07/2025
Date Signed: 03/07/2025 02:34:06 PM

Document Has Been Signed on 03/07/2025 02:34 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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:VINE LEARNING CENTER #2, THEFACILITY NUMBER:
376700997
ADMINISTRATOR/
DIRECTOR:		SAMANTHA AGUIRREFACILITY TYPE:
830
ADDRESS:6705 LINDA VISTA ROADTELEPHONE:
(858) 974-1222
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 66TOTAL ENROLLED CHILDREN: 0CENSUS: 53DATE:
03/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Samantha AguirreTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On 3/07/25, at 12:15 pm Licensing Program Analysts (LPA’s) Adriana Macias and Nancy Diaz, conducted an unannounced Case Management visit for the purpose of discussing a self reported incident that occurred on 2/20/25. The incident was self-reporter on 2/24/25. LPAs met with site director Samantha Aguirre and conducted a tour of facility. LPA’s observed the following ratios:

(Classroom Infant 2) - 9 infants, 3 teachers and 1 aid.

(Classroom Toddler 1) - 21 infants, 3 teachers.

(Classroom Infant 1) – 16 infants, 3 teachers and 1 aid.

(Classroom Toddler 2) – 7 infants, 1 teacher.

Incident reported involved an infant that was left on the floor by a teacher on top of a boppy pillow. A blanket was left above the infant’s head and due to lack of supervision, the infant was able to grab the blanket and dragged it over the infant’s head.

During this visit, LPAs interviewed Director and two staff members. Director stated that a training was conducted the next day about supervision and blankets not allowed in the classroom. Director also provided her plan of action and staff agreed to be more vigilant on the supervision of children. Part of their plan states that blankets or soft sheets are no longer allowed in the classroom.

LPAs Adriana Macias and Nancy Diaz informed facility representative Samantha Aguirre that this report dated 3/07/25 documents two Type A citations, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

(CONT ON LIC809C)

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: VINE LEARNING CENTER #2, THE
FACILITY NUMBER: 376700997
VISIT DATE: 03/07/2025
NARRATIVE
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Also, LPAs Adriana Macias and Nancy Diaz informed the facility representative to provide a copy of this licensing report dated 3/07/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Pursuant to Title 22 of the CA Code of Regulations, the following Type A and Type B deficiencies were cited (refer to LIC 809-D).

Type A deficiencies if not corrected poses an immediate risk to the health, safety or personal rights of children in care.

Type B deficiency if not corrected poses a potential risk to the health, safety or personal rights of children in care.

Exit interview conducted and report was reviewed with facility representative Samantha Aguirre. A notice of site visit was provided and must remain posted for 30 days.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 03/07/2025 02:34 PM - It Cannot Be Edited


Created By: Adriana Macias On 03/07/2025 at 01:39 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VINE LEARNING CENTER #2, THE
FACILITY NUMBER: 376700997

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/07/2025
Section Cited
CCR
101229(a)(1)

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RESPONSABILITY FOR PROVIDING CARE AND SUPERVISION.
The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time ...This requirement was not met as evidenced by:
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Director stated that she met with all staff and reviewed video footage. Staff were reminded that they are to scann the room at all times and provide visual supervision. Director also stated that blankets or soft sheets are no longer allowed in the classroom.
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Based on staff interviews, and review of camera footage an infant was left on top of a boppy pillow on thefloor. A blanket was left above the infant’s head and due to lack of supervision, the infant was able to grab the blanket and dragged it over the infant’s head.
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Type A
03/07/2025
Section Cited
CCR101223(a)(2)

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PERSONAL RIGHTS
To be accorded safe, healthful accommodation...

This requirement was not met as evidenced by:
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Director met with staff, and staff agreed to be more vigilant on the supervision of children. LPA's received an acknowledgement signed by all staff of the training.
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Based on staff interviews, and review of camera footage, it was observed that a parent walked into the classroom and found an infant's head covered with a blanket. Video footage reviewed also revealed that the infants head was covered for approximately 45 seconds.
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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:Tashima Daniel
LICENSING EVALUATOR NAME:Adriana Macias
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2025


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 03/07/2025 02:34 PM - It Cannot Be Edited


Created By: Adriana Macias On 03/07/2025 at 02:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VINE LEARNING CENTER #2, THE
FACILITY NUMBER: 376700997

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/07/2025
Section Cited
CCR
101212(d)

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REPORTING REQUIREMENTS
Upon the occurrence, during the operation of the child care center of any of the events specified in below, a report shall be made to the Department by telephone or fax within the Department's next working day...
This requirement was not met as evidenced by:
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Site director submitted a statement on 3/07/25 acknowledging understanding of the reporting requirements. She stated that she understands that all unusual incidents must be reported to the department by the next bussniess day via phone or fax, and a written report within 7 days of accurance.
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Based on interview and record review, site director failed to report an unusual incident via phone or fax to the department within the department's next working day.
Incident that ocurred on 2/20/2025 was not reported to the department until 2/24/2025.
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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:Tashima Daniel
LICENSING EVALUATOR NAME:Adriana Macias
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2025


LIC809 (FAS) - (06/04)
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