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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105011
Report Date: 07/25/2023
Date Signed: 07/25/2023 02:13:14 PM

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
07/24/2023 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20230724142906
FACILITY NAME:GOLDEN POPPY PRESCHOOL & INFANT CENTERFACILITY NUMBER:
376105011
ADMINISTRATOR:MONIQUE REYCASAFACILITY TYPE:
830
ADDRESS:3422 TRIPP COURTTELEPHONE:
(858) 794-9130
CITY:SAN DIEGOSTATE: CAZIP CODE:
92121
CAPACITY:44CENSUS: 33DATE:
07/25/2023
UNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Monique ReycasaTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility is out of ratio
INVESTIGATION FINDINGS:
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On 7/25/2023 at 12:31 PM, Licensing Program Analyst (LPA) Annette Sutherland conducted an unannounced inspection for the purpose of investigating the above complaint allegations. LPA met with the director Monique Reycasa and Asisitant director Miriam Moreno Shelland. Approprirtate ratios were not observed. LPA observed Staff 1 with 10 infants (6 awake, 4 sleeping) in the Bears room. Based on the information obtained during interviews, observations, and documentation reviewed it is determined that facility was not in ratio due to call outs today and last week.The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter number) the deficiency is being cited on the attached LIC 9099D. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Monique Reycasa . A notice of site visit was given and must remain posted for 30 days
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023
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 51-CC-20230724142906
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: GOLDEN POPPY PRESCHOOL & INFANT CENTER
FACILITY NUMBER: 376105011
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/26/2023
Section Cited
CCR
101416.5(b)
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CCR 101416.5(b)
Staff-Infant Ratio
There shall be a ratio of one teacher for every four infants in attendance. This requirement is not met as evidence by: On 7/25/23, facility was operating out of ratio for about five minutes when LPA walked into the infant classroom.
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Deficiency was cleared at visit. Staff member returned to Infant classroom. Director stated that she adjusted the staff members lunch schedule and will make sure additional staff is called to replace staff that calls out sick.
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One teacher supervising 10 infants (6 were awake and 4 were sleeping. This poses a potential health and safety risk to children in care.
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Director will provide written plan on how she plans on staying within ratio.
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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: Renesha Askew
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2