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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701605
Report Date: 04/08/2026
Date Signed: 04/08/2026 03:32:46 PM

Document Has Been Signed on 04/08/2026 03:32 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 CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ALPINE COUNTRY DAY SCHOOLFACILITY NUMBER:
376701605
ADMINISTRATOR/
DIRECTOR:		LEANNE TALADAFACILITY TYPE:
860
ADDRESS:1508 MIDWAY DRIVETELEPHONE:
(619) 445-3333
CITY:ALPINESTATE: CAZIP CODE:
91901
CAPACITY: 68TOTAL ENROLLED CHILDREN: 80CENSUS: 55DATE:
04/08/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Julie Ramirez and LeAnne TaladaTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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On April 8, 2026, at 1:15pm., Licensing Program Analyst (LPA) Angela Nguyen conducted an unannounced case management inspection regarding a self reported incident. LPA met with Licensee, Julie Ramirez and Facility Representative, LeAnne Talada. LPA discussed the purpose of the inspection and was led on a tour of the facility. There were 54 napping children present with 7 staff members.

On April 2, 2026, the Facility Representative self- reported an incident regarding Child #1 (C1) sustaining an injury requiring medical attention. Per Facility Representative, the alleged incident occurred on March 20,2026 at about 10:00AM.

Interviews were conducted with the Facility Representative, one staff member and C1. Child records were reviewed.

Facility Representative stated that Staff #1 (S1) brought C1 into the office after a fall from the teeter totter in the outdoor play area. Facility Representative stated that first aid was administered and she contacted C1's mother to pick up the child to seek medical attention. Facility Representative stated that C1 sustained a buckle fracture to his right arm and returned to the facility the following school day with a splint then his arm was casted on March 24, 2026.

S1 stated that on or about March 18, 2026 around 9:00-9:30AM, she observed the impact C1 made with the sand from the back of the teeter totter and ran over immediately as he was getting up holding his right arm. S1 stated that she took him into the Director's office to get evaluated and applied an ice pack to his arm. S1 stated that she asked C1 what happened and he stated that he jumped off the back of the teeter totter.
NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Angela Nguyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 04/08/2026 03:32 PM - It Cannot Be Edited


Created By: Angela Nguyen On 04/08/2026 at 08:42 AM
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: ALPINE COUNTRY DAY SCHOOL
FACILITY NUMBER: 376701605

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/10/2026
Section Cited
CCR
101212(d)(B)

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(d) ... a report shall be made to the Department by telephone or .... next working day .... In addition, a written report..... submitted to the Department within seven days following the occurrence of such event. (B) Any injury to any child that requires medical treatment.
This requirement is not met as evidenced by:
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Facility Representative stated that she will review regulation 101212 reporting requirements the licensee and submit a written statement stating her compliance and understanding of the regulation to the department no later than 04/10/2026.
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Based on directors's admission, the licensee did not comply with the section cited above by not reporting an injury that requires medical attention to the department within 24 hours and submiting a written report within 7 days which posed a potential health, safety or personal rights risk to persons 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.
Tulam Vu
NAME OF LICENSING PROGRAM MANAGER:
Angela Nguyen
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/08/2026


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 CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ALPINE COUNTRY DAY SCHOOL
FACILITY NUMBER: 376701605
VISIT DATE: 04/08/2026
NARRATIVE
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 S1 stated that the director contacted C1's mother to inform her of the injury and was picked up shortly after.

LPA inspected the teeter totter on the playground to be age appropriate and in a safe location on the playground.

Based on the information obtained during the incident investigation, this incident appears to be an accident. This concludes the incident investigation. However, the Facility Representative, LeAnne Talada admitted to LPA that the incident report requiring medical attention was not submitted or informed to the department within 24 hours of the incident.

California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.

A notice of site visit was given and must be posted for 30 days. Exit interview was conducted and report was reviewed with Facility Representative, LeAnne Talada and Licensee, Julie Ramirez.
NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Angela Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026
LIC809 (FAS) - (06/04)
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