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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370800634
Report Date: 09/04/2024
Date Signed: 09/04/2024 02:35:42 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 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
07/22/2024 and conducted by Evaluator Vicky Williamson
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20240722132900
FACILITY NAME:LA MESA UNITED METHODIST CHILDREN'S CENTERFACILITY NUMBER:
370800634
ADMINISTRATOR:AMY FAGANFACILITY TYPE:
850
ADDRESS:4690 PALM AVENUETELEPHONE:
(619) 466-8407
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY:87CENSUS: 44DATE:
09/04/2024
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Nancy BetancourtTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Staff left daycare child unattended
INVESTIGATION FINDINGS:
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On 9/4/2024, at 11:40am, Licensing Program Analysts (LPAs) Vicky Williamson and Angela Nguyen conducted an unannounced complaint inspection for the purpose of delivering findings regarding the above allegation. LPAs met with Interim Director, Nancy Betancourt. During the inspection there were 44 children present with 10 staff members.

During the course of the investigation, interviews were conducted with interim director, six (6) staff members, five (5) daycare children including child in question and seven (7) daycare parents. Facility roster, facility sign in/sign out sheet, and related documentation were reviewed and obtained. Staff and children files were reviewed.

It was alleged that staff left daycare child unattended. Interim Director, Nancy Betancourt acknowledged that C1 was left without supervision on 7/19/2024 inside of a classroom for approximately 15 minutes.
See LIC 9099C Continuation...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2024
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-20240722132900
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: LA MESA UNITED METHODIST CHILDREN'S CENTER
FACILITY NUMBER: 370800634
VISIT DATE: 09/04/2024
NARRATIVE
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Interim Director stated that the incident occurred during the transition of children from the bathroom adjacent to the classroom to the playground area. C1 was recovered from the classroom by Staff (S1) and was observed to be safe and unharmed.

A review of facility sign in/sign out sheets and related documentation provided evidence that C1 was left without supervision inside of the classroom for approximately 15 minutes.

Based on Interim Director’s own admission, interviews with staff, facility sign in/sign out sheets and related documentation, the preponderance of evidence standard has been met and the allegation that staff left daycare child unattended is therefore SUBSTANTIATED.

Based on interviews and documentation, one (1) Type A deficiency of California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 9099D.

LPA informed Interim Director, Nancy Betancourt that this report dated 9/4/2024 documents one (1) Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

An immediate civil penalty of $500 was assessed for absence of supervision.

Also, LPA informed Interim Director, Nancy Betancourt to provide a copy of this licensing report dated 9/4/2024 that documents a Type A citation 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. LPA provided Interim Director, Nancy Betancourt with form LIC 9224.

Exit interview was conducted with Interim Director, Nancy Betancourt and a copy of this report and Appeal Rights were provided. A notice of site visit was given and must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 20-CC-20240722132900
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: LA MESA UNITED METHODIST CHILDREN'S CENTER
FACILITY NUMBER: 370800634
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/11/2024
Section Cited
CCR
101229(a)(1)
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101229 (a) The licensee shall provide care and supervision... (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
This requirement is not met as evidenced by:
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Interim Director stated that she will conduct a training with staff on supervision and transitioning and staff will review the video Supervising Children in Child Care Centers on the CCLD website and submit a staff sign in sheet, summary of the video, and a written plan of action detailing supervision procedures to the
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Based on interview and record review, the licensee did not comply with the section cited above in that on 7/19/2024, there was an absence of supervision resulting in C1 being left unsupervised in a classroom for 15 minutes which poses an immediate, safety, or personal rights risk to persons in care.
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detailing supervision procedures to the SDRO by 9/11/2024.
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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: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2024
LIC9099 (FAS) - (06/04)
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