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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370800147
Report Date: 08/22/2022
Date Signed: 08/22/2022 12:39:17 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
06/08/2022 and conducted by Evaluator Gloria Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220608142421
FACILITY NAME:COUNTRY TREEHOUSE PRESCHOOL, THEFACILITY NUMBER:
370800147
ADMINISTRATOR:REBECCA MILLERFACILITY TYPE:
850
ADDRESS:25153 VIEJAS BOULEVARDTELEPHONE:
(619) 445-1454
CITY:DESCANSOSTATE: CAZIP CODE:
91916
CAPACITY:45CENSUS: 15DATE:
08/22/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Rebecca MillerTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff are not criminally record cleared
INVESTIGATION FINDINGS:
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On August 22, 2022 at 8:00 am Licensing Program Analyst, (LPA), Gloria Gonzalez conducted an inspection to deliver the complaint findings. LPA met with Director, Rebecca Miller. LPA observed 15 daycare children and 3 staff members at the time of this inspection.

During the course of this investigation, interviews were conducted with the Director, staff members, daycare children, and daycare parents. Based on records reviewed and the director's admission, Staff #1 (see LIC811) had been working as a teacher on or about May 9, 2022 without a criminal record clearance.

Based on LPAs interviews and records review, the preponderance of evidence standard has been met therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 9099D. See 9099-C for continuation. A $500.00 civil penalty is being assessed (See LIC421BG).
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022
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 4
Control Number 20-CC-20220608142421
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: COUNTRY TREEHOUSE PRESCHOOL, THE
FACILITY NUMBER: 370800147
VISIT DATE: 08/22/2022
NARRATIVE
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LPA Gloria Gonzalez informed Director, Rebecca Miller that this report dated 8/22/22 with a Type A citation, 101170(e)(1) Criminal Record Clearance, shall be posted for 30 consecutive days. Director was advised to also give a a copy 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.

A copy of this report, notice of site visit (LIC 9213), and appeal rights (LIC 9058) was provided to Director, Rebecca Miller. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.

An exit interview was conducted with Director, Rebecca Miller.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 20-CC-20220608142421
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: COUNTRY TREEHOUSE PRESCHOOL, THE
FACILITY NUMBER: 370800147
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/29/2022
Section Cited
CCR
101170(e)(1)
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101170(e) Criminal Record Clearance
(1) Obtain a California clearance or a criminal record exemption as required by the Department or.

This has not been met as evidenced by:
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Director has submitted LIC9163 for staff #1 on 6/20/22. LPA verified that staff #1 has received clearance as of 6/18/22. Director stated she will review the CCL video on Background Check Requirements for Caregivers. Director states she will submit a summary of the video as well as a written plan on how to ensure that all staff members receive criminal record clearance prior to employment by 8/29/22.
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Based on interviews and record review, the Facility did not ensure that Staff #1 has a criminal record clearance prior to working at this facility, which poses an immediate Health and Safety 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.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4