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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701231
Report Date: 05/13/2022
Date Signed: 05/13/2022 01:23:12 PM

Substantiated


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
03/08/2022 and conducted by Evaluator Dana Stevens
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220308095756
FACILITY NAME:ALPINE CHILDREN'S ACADEMYFACILITY NUMBER:
376701231
ADMINISTRATOR:STEPHANIE FREEMANFACILITY TYPE:
850
ADDRESS:2403 ALPINE BOULEVARDTELEPHONE:
(619) 445-5462
CITY:ALPINESTATE: CAZIP CODE:
91901
CAPACITY:50CENSUS: 20DATE:
05/13/2022
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Stephanie FreemanTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Daycare children are commingling while in care.
INVESTIGATION FINDINGS:
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On 05/13/2022 at 12:15 PM, LPA Dana Stevens conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA met with Director Stephanie Freeman. There were 20 children in care at the time of the inspection.

During the course of the investigation, interviews were conducted with the reporting party, daycare children, daycare parents, daycare teachers, and Director. LPA reviewed facility records and documentation provided by Reporting Party. Based on information obtained in interviews and review of facility records the facility is co-mingling school-age children with pre-school children routinely in the last 30-45 minutes of the day, thus this allegation is found to be Substantiated. Because an incident occurred during the co-mingling time period in which a preschool child was injured a Type A citation is being cited on the attached LIC9099D.

Upon Receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. An exit interview was conducted and copy of this report was provided to Director. Notice of Site Visit must be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 20-CC-20220308095756
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ALPINE CHILDREN'S ACADEMY
FACILITY NUMBER: 376701231
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/13/2022
Section Cited
CCR
101161(a)
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101161(a) Limitations on Capacity and Ambulatory Status. The licensee shall not exceed the conditions, limitations and capacity specified in the license. This requirement was not met as evidenced by:
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Director stated she now has school-age staff available until 6:00 PM. Director stated she will submit new Personnel report within 7 days.
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Facility's capacity conditions were violated when it was determined preschool and school-age children were commingled routinely in the last 30-45 minutes of the day. This poses a immediate risk to the 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: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
03/08/2022 and conducted by Evaluator Dana Stevens
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220308095756

FACILITY NAME:ALPINE CHILDREN'S ACADEMYFACILITY NUMBER:
376701231
ADMINISTRATOR:STEPHANIE FREEMANFACILITY TYPE:
850
ADDRESS:2403 ALPINE BOULEVARDTELEPHONE:
(619) 445-5462
CITY:ALPINESTATE: CAZIP CODE:
91901
CAPACITY:50CENSUS: 20DATE:
05/13/2022
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Stephanie FreemanTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Staff did not provide adequate supervision to daycare children while in care
INVESTIGATION FINDINGS:
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On 05/13//2022 at 12:15 PM, LPA Dana Stevens conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA met with Director Stephanie Freeman. There were 20 children in care at the time of the inspection.

During the course of the investigation, interviews were conducted with the reporting party, daycare children, daycare parents, daycare teachers, and Director. LPA reviewed facility records and documentation provided by Reporting Party.

An incident occurred on 02/25/2022 in which a preschool child was injured when an older child threw a pillow at the younger child and the younger child fell backward hitting his head on the floor. The staff member that was present with the children at the time of the incident stated in interview that although she was near the children at the time, she did not witness the child fall due to having her back to the children to say goodbye to a departing parent. Although the staff member did not witness the child fall, the staff member was able to provide immediate attention to the injured child and appropriate child/teacher ratio was being observed. Due to conflicting information recieved during interviews there is not a preponderance of evidence to support the allegation of Staff did not provide adequate supervision to daycare children while in care, thus this allegation is found to be Unsubstantiated.

An exit interview was conducted and copy of this report was provided to Director. Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3