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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701116
Report Date: 09/12/2024
Date Signed: 09/12/2024 02:49:48 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 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
09/05/2024 and conducted by Evaluator Michelle Hood
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20240905101943
FACILITY NAME:NHA - JOHNSON EARLY LEARNING ACADEMYFACILITY NUMBER:
376701116
ADMINISTRATOR:EMMA SEWELLFACILITY TYPE:
850
ADDRESS:5760 LUBER STREETTELEPHONE:
(619) 798-3330
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY:76CENSUS: 47DATE:
09/12/2024
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Director Emma SewellTIME COMPLETED:
03:25 PM
ALLEGATION(S):
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Staff does not ensure proper supervision resulting in child leaving classroom.
Staff does not report incidents to CCLD.
INVESTIGATION FINDINGS:
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On 09/12/2024, Licensing Program Analysts (LPAs) Michelle Hood and Julieta Abrego conducted an unannounced initial 10-day complaint inspection regarding the above allegations. The LPAs met with the director Emma Sewell. The director led LPAs on a tour of the facility. LPA Abrego observed 13 children with two staff in Classrrom #1, 16 children with three staff in Classroom #2, three children with two staff in Classroom #3, five children with two staff in Classroom #4, six children with two staff in Classroom #5, and four children with one staff in Classroom #6.

LPAs interviewed the director, assistant site supervisor, and six staff. LPAs obtained a copy of the children's roster and sign-in sheets. Based on interviews, it was determined a three year old was found unsupervsied in the Early Headstart playground. The director and assistant site supervisor admitted they did not report the incident to the Licensing Dept. within 24 hours, and did not submit an Unusual Incident Report (UIR) within seven business days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
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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Control Number 20-CC-20240905101943
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NHA - JOHNSON EARLY LEARNING ACADEMY
FACILITY NUMBER: 376701116
VISIT DATE: 09/12/2024
NARRATIVE
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The preponderance of evidence standard has been met; therefore, the allegations were found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, are being cited.

LPA Hood informed the director Emma Sewell that this report dated 09/12/2024 document(s) one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Hood informed the director Emma Sewell to provide a copy of this licensing report dated 09/12/2024 that documents any Type A citation(s) 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.

Exit interview was conducted and the report was reviewed with the director Emma Sewell. The director was provided with a copy of their appeal rights (LIC 9058 3/22) and their signature on this form acknowledges receipt of these rights. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. See LIC 9099D for deficiencies.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC9099 (FAS) - (06/04)
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Control Number 20-CC-20240905101943
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: NHA - JOHNSON EARLY LEARNING ACADEMY
FACILITY NUMBER: 376701116
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/13/2024
Section Cited
CCR
101229(a)(1)
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101229(a)(1)Responsibility 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...Supervision shall include visual observation. This requirement is not met by:
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The director stated she will create a detailed zoning and supervision plan for staff. The director stated she provide the plan to the LPA within twenty-four hours.
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Based on interviews it was determined a three year old child was found unsupervised in the Early Headstart playground. This is an immediate Health & Safety risk to children in care.
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Type B
10/10/2024
Section Cited
CCR
101212(d)(1)(C)
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101212 (d)(1)(C)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 and during its normal business hours. In addition, a written report containing...shall be submitted to the Department within seven days following the occurrence of such event. Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement is not met by:
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The director stated she will submit the LIC 624B - UIR to the LPA. The director stated she will submit a written statement from the director, and assistant site supervisor about how they will implement the reporting requirements.
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Based on the director and assistant site supervisor admitted they did not report the incident to the Licensing Dept. within 24 hours, and did not submit an Unusual Incident Report (UIR) within seven business days. This is a potential Health & Safety 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: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC9099 (FAS) - (06/04)
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