<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701345
Report Date: 06/19/2025
Date Signed: 07/21/2025 09:10:49 AM

Substantiated


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
03/24/2025 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20250324153628
FACILITY NAME:COASTAL CHRISTIAN ACADEMYFACILITY NUMBER:
376701345
ADMINISTRATOR:ASHLEY MILBURNFACILITY TYPE:
850
ADDRESS:4633 DOLIVA DRIVETELEPHONE:
(858) 598-6846
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:37CENSUS: 0DATE:
06/19/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH: Ashley MilburnTIME COMPLETED:
09:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1. Staff are not meeting children's toileting needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
THIS IS AN AMENDED REPORT
On 6/20/25 at 8:00am Licensing Program Analyst (LPA), Annette Sutherland, made an unannounced visit to deliver findings on the above referenced allegation. LPA met with faciltiy Representative Ana Irene Nordgren. Facility is closed today for staff development day. Based on the information obtained during file reviews and interviews with multiple parties it was determined that S1 admitted that they did not apply the diaper cream to prevent/treat diaper rash as requested by the parent. The allegation is valid because the preponderance of evidence has been met, therefore the allegation is found to be SUBSTANTIATED. See LIC9099-D for Type B deficiency cited. Exit interview conducted and report was reviewed with Ana Irene Nordgren. Notice of site visit was provided and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
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 51-CC-20250324153628
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: COASTAL CHRISTIAN ACADEMY
FACILITY NUMBER: 376701345
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/27/2025
Section Cited
CCR
101216(a)
1
2
3
4
5
6
7
THIS IS AN AMENDED REPORT
101216 Personnel Requirements (a) Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs. ...this requirement was not met as evidenced by...
1
2
3
4
5
6
7
Facility representative stated she would provide a staff training regarding meeting children’s toileting needs and provide LPA with signed agenda sheet by 6/27/25.
8
9
10
11
12
13
14
Staff #1 did not apply diaper cream to child per parent request, to prevent diaper rash. This is a potential health, safety and personal rights risk to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
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
03/24/2025 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20250324153628

FACILITY NAME:COASTAL CHRISTIAN ACADEMYFACILITY NUMBER:
376701345
ADMINISTRATOR:ASHLEY MILBURNFACILITY TYPE:
850
ADDRESS:4633 DOLIVA DRIVETELEPHONE:
(858) 598-6846
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:37CENSUS: DATE:
06/19/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:TIME COMPLETED:
09:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left day care child soiled in feces
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/20/25 at 8:30 am , Licensing Program Analyst (LPA) Annette Sutherland conducted an unannounced complaint inspection to deliver findings regarding the above allegation. LPA Sutherland met with facility representative Ana Irene Nordgren. The Department fully investigated the above allegation. LPA conducted interviews with staff, current, and past parents. Although LPA did not find evidence of the allegation, information obtained during the investigation does not conclusively prove or disprove the allegation.
Therefore, it is determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with the Facility representative. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) was provided along with the report (LIC9099) to the facility representative. LPA Sutherland observed Notice of Site Visit being posted. Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3