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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700997
Report Date: 03/05/2024
Date Signed: 03/05/2024 03:57:39 PM

Unsubstantiated


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
11/13/2023 and conducted by Evaluator Selina Siao
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20231113142349
FACILITY NAME:VINE LEARNING CENTER #2, THEFACILITY NUMBER:
376700997
ADMINISTRATOR:SAMANTHA AGUIRREFACILITY TYPE:
830
ADDRESS:6705 LINDA VISTA ROADTELEPHONE:
(858) 974-1222
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:58CENSUS: 46DATE:
03/05/2024
UNANNOUNCEDTIME BEGAN:
03:21 PM
MET WITH:Samantha AguirreTIME COMPLETED:
04:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
An infant sustained unexplained bruising and scratches while in care.

INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/05/2024 at 3:21pm, Licensing Program Analysts (LPAs) Selina Siao and Gerald Poindexter conducted an unannounced complaint inspection for the complaint received on 11/13/2023, for the purpose of delivering finding on the above reference allegation. The initial inspection was conducted on 11/16/2023. It was alleged that on 09/19/2023, an infant sustained unexplained bruising and scratches while in care. Throughout the course of investigation, the department conducted interviews with other public agency member, medical provider and several staff members. In addition, medical records and other public agency reports were obtained and reviewed. Based on information obtained, it is unclear how the day care infant received or sustained the bruises and scratches. Day care staff denied seeing any bruising on the day care infant as they never took the child's clothing off on the day of occurrence. The mechanism or cause of the injury remains unknown. 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. Exit interview conducted and report was reviewed with the Director. Notice of site visit was given and must remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
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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