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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334845053
Report Date: 10/06/2022
Date Signed: 10/06/2022 09:43:31 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/15/2022 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220915162330
FACILITY NAME:ALEXA'S PLAYCFACILITY NUMBER:
334845053
ADMINISTRATOR:FARA BOWLESFACILITY TYPE:
850
ADDRESS:25170 HANCOCK AVENUETELEPHONE:
(858) 966-8555
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:32CENSUS: 14DATE:
10/06/2022
UNANNOUNCEDTIME BEGAN:
07:55 AM
MET WITH:Gabriela PadillaTIME COMPLETED:
09:50 AM
ALLEGATION(S):
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Staff left daycare children unattended
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to conclude an investigation into the above allegation. LPA conducted a visit on 09/21/22 and extended the investigation at that time. LPA toured the facility and conducted census. It was alleged that there were children left unattended in a bathtroom. During the visit today LPA entered and observed the two classrooms from inside the Observation Room which is located between the Giraffes Room and the Elephants Room. Inside the Elephants Room there are two bathrooms. LPA observed two children using each bathroom at separate time without visual supervision. The Elephants Room at this time had six children and two staff members. From the observation by LPA that two different children did use the bathroom unattended, the preponderance of evidence has been met and the above allegation is SUBSTANTIATED.

An exit interview was conducted, appeal rights discussed and provided along with a copy of this report to the facility on this date. A Notice of Site Visit was posted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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 2
Control Number 10-CC-20220915162330
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: ALEXA'S PLAYC
FACILITY NUMBER: 334845053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/15/2022
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision - (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include
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Site Supervisior, Gabriela Padilla agrees to hold a staff meeting regarding proper supervision. Staff will sign an intinerary and a copy will be submitted to Communuty Care Licensing by 10/15/22. Ms. Padilla was reminded that per California Health and Safety Code Section 1548(b0, 1568.0822(b), 1569.49(b), 1596.99(b), or 1597.58 (b) that
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visual observation. This requirement was not met as LPA observed two children using the bathroom unattended and without visual supervision during the visit on this date (10/06/22). This is a potential risk to the health and safety of children in care.
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there would be a $100.00 Civil Penalty per day for every day the plan of correction is late.
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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: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
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