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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105062
Report Date: 03/24/2022
Date Signed: 03/24/2022 03:14:20 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
02/03/2022 and conducted by Evaluator Keturah Lane
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220203103615
FACILITY NAME:BORREGO SPRINGS CHILDREN'S CENTERFACILITY NUMBER:
376105062
ADMINISTRATOR:TERESA WESTFACILITY TYPE:
850
ADDRESS:580 CIRCLE J DRIVETELEPHONE:
(760) 767-3658
CITY:BORREGO SPRINGSSTATE: CAZIP CODE:
92004
CAPACITY:35CENSUS: 8DATE:
03/24/2022
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Teresa WestTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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1. Personal Rights – Children in care are being bitten
2. Ratio – Day care children are being co-mingled
INVESTIGATION FINDINGS:
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On 3/24/22 at 10:15 AM, Licensing Program Analysts (LPAs) Patrick Ma and Keturah Lane conducted an unannounced complaint investigation to deliver findings regarding the above allegations. LPAs met with Director Teresa West upon arrival and toured the facility. Total census was 8 children (6 preschool and 2 toddlers) with 5 staff including the Director. This facility has a toddler component attached to the preschool license. LPAs observed preschool children playing outside. Toddlers were observed playing outside in the toddler outdoor play area separated by fencing. At 11:15 AM – 1:05 PM, LPAs conducted staff interviews and interviewed the Director. LPAs reviewed staff files.
The Department fully investigated the above allegations and obtained information from the facility file review, facility documents, photos/documents from other parties, and interviews with staff, children, parents of enrolled children and other parties connected with the facility. Based upon this information, the preponderance of evidence standard has been met and the allegations that children in care are being bitten and day care children are being co-mingled are therefore SUBSTANTIATED. (continued on LIC9099-D...)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
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 5
Control Number 51-CC-20220203103615
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: BORREGO SPRINGS CHILDREN'S CENTER
FACILITY NUMBER: 376105062
VISIT DATE: 03/24/2022
NARRATIVE
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LPAs Lane and Ma informed facility representative, Teresa West (Director), that this report dated 3/24/22 documents 2 Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Also, LPAs Lane and Ma informed the facility representative to provide a copy of this licensing report dated 3/24/22 that documents any Type A citations 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.

Exit interview conducted and report was reviewed with the facility representative Teresa West, Director. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 51-CC-20220203103615
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: BORREGO SPRINGS CHILDREN'S CENTER
FACILITY NUMBER: 376105062
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/25/2022
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights:(2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidence by…
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Director stated she would hold a staff meeting reviewing personal rights regulations, writing ouch/behavior reports for parents, policy for staff to report to Director, keeping toddlers & preschoolers separate – and have all staff sign meeting agenda and provide this to LPA Lane by 3/25/22 via e-mail: Keturah.Lane@dss.ca.gov

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Based upon photos/documents received and interviews with staff members and enrolled children, the facility is not doing enough to prevent a child in care from biting other children which is an immediate health, safety and personal rights risk to children in care.
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Type A
03/25/2022
Section Cited
CCR
101216.4(a)(2)(A)
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101216.4 Preschool Program with Toddler Component (a)Licensee serving preschool-age children may create a special program component for children who are between 18 months and 36 months of age… (2) The toddler program shall be conducted in areas physically separate from those used by older or younger children…This requirement was not met as evidenced by…
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Director stated she will provide a written statement by 3/25/22 explaining how she will keep the toddler children separate from both infant and preschool areas including areas of facility, staffing needed and how this information will be shared with all staff working at the facility….and e-mail to LPA Lane at: Keturah.Lane@dss.ca.gov

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Based upon staff and Director interviews, a toddler child was co-mingling with preschool age children at beginning and end of workdays when enrollment was low and child was biting other children in care as a result which is an immediate health, safety and personal rights risk to children 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: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
02/03/2022 and conducted by Evaluator Keturah Lane
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220203103615

FACILITY NAME:BORREGO SPRINGS CHILDREN'S CENTERFACILITY NUMBER:
376105062
ADMINISTRATOR:TERESA WESTFACILITY TYPE:
850
ADDRESS:580 CIRCLE J DRIVETELEPHONE:
(760) 767-3658
CITY:BORREGO SPRINGSSTATE: CAZIP CODE:
92004
CAPACITY:35CENSUS: 8DATE:
03/24/2022
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Teresa WestTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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1. Personal Rights – not following Covid-19 protocols
2. Qualification – Unqualified staff providing care to children
INVESTIGATION FINDINGS:
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On 3/24/22 at 10:15 AM, Licensing Program Analysts (LPAs) Patrick Ma and Keturah Lane conducted an unannounced complaint investigation to deliver findings regarding the above allegations. LPAs met with Director Teresa West upon arrival and toured the facility. Total census was 8 children (6 preschoolers and 2 toddlers) with 5 staff including Director. This facility has a toddler component attached to the preschool license. LPAs observed preschool children playing outside. Toddlers were observed also playing outside in a separate playground. At 11:15 AM – 1:05 PM, LPAs conducted staff interviews and interviewed the Director. LPAs reviewed staff files.
The Department fully investigated the above allegations and obtained information from the facility file review, facility documents, photos/documents from other parties, and interviews with staff, children, parents of enrolled children and other parties connected with the facility. Based upon this information, although the allegations that unqualified staff were providing care to children and the facility was violating the children’s personal rights by not following covid-19 protocols may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred and are therefore UNSUBSTANTIATED. Exit interview conducted and report was reviewed with the facility representative Teresa West, Director. A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5