<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105207
Report Date: 01/06/2026
Date Signed: 01/06/2026 12:58:48 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
10/22/2025 and conducted by Evaluator Renita Rodriguez
COMPLAINT CONTROL NUMBER: 51-CC-20251022143522
FACILITY NAME:TEMPLE ADAT SHALOMFACILITY NUMBER:
376105207
ADMINISTRATOR:MARILYN MILNEFACILITY TYPE:
860
ADDRESS:15905 POMERADO ROADTELEPHONE:
(858) 451-1200
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:83CENSUS: 35DATE:
01/06/2026
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Marilyn MilneTIME COMPLETED:
01:12 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff interfere with children eating.
Staff inappropriately disciplined children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/6/26 at 8:45 a.m.. Licensing Program Analyst (LPA) Renita Rodriguez made an unannounced complaint visit for the complaint received on 10/22/25. The purpose of this visit is to deliver findings on the above reference allegations. LPA was granted entry after identifying self, showing badge, and disclosing the reason for the visit. LPA met with Director Marilyn Milne. Ratios observed 35 children and 11 staff.

It was alleged "Staff interfered with children eating.” Based on review of pertinent documentation, staff and parent interviews and observation of the facility, after the children come inside from the playground, they use the restroom and wash their hands before lunch. Some children learning to use the restroom on their own, taking longer than others and leaving them with less time to eat their lunch. Information obtained during the investigation shows that the facility is not allowing these children sufficient additional time to finish their lunch.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
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-20251022143522
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: TEMPLE ADAT SHALOM
FACILITY NUMBER: 376105207
VISIT DATE: 01/06/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
It was alleged "Staff inappropriately disciplined children.” Based on interviews with staff and review of pertinent documentation, children have been made to stay behind in the classroom to discuss their behavior, missing their outdoor time as a form of discipline. Per the Parent Handbook, redirection is the only form of discipline to be used. LPA determined that keeping children behind while others play, contradicts the schools handbook and is an inappropriate form of discipline.

Both above-referenced allegations are Substantiated. The allegations are valid because the preponderance of evidence has been met. Type B deficiencies are being cited, under California Code of Regulations, (Title 22, Division 12, Chapter 1), on the attached LIC 9099D. The Notice of Site Visit was provided, and LPA observed posting. Director is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Marilyn Milne.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
10/22/2025 and conducted by Evaluator Renita Rodriguez
COMPLAINT CONTROL NUMBER: 51-CC-20251022143522

FACILITY NAME:TEMPLE ADAT SHALOMFACILITY NUMBER:
376105207
ADMINISTRATOR:MARILYN MILNEFACILITY TYPE:
860
ADDRESS:15905 POMERADO ROADTELEPHONE:
(858) 451-1200
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:40CENSUS: 35DATE:
01/06/2026
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Marilyn MilneTIME COMPLETED:
01:12 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff violates children's personal rights.
Staff inappropriately touched child.
Staff are not properly supervising children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/6/26 at 8:45 a.m.. Licensing Program Analyst (LPA) Renita Rodriguez made an unannounced complaint visit for the complaint received on 10/22/25 for the purpose of delivering findings on the above reference allegations. LPA was granted entry after identifying self, showing badge, and disclosing the reason for the visit. LPA met with Director Marilyn Milne. Ratios observed 35 children and 11 staff.

It was alleged that “Staff violates children's personal rights, Staff inappropriately touched a child and that staff are not properly supervising children." LPA conducted interviews with staff, children and parents. Relevant documentation was reviewed, including medical documentation, and facility observation was conducted. LPA determined that facility staff have an accurate understanding of what children’s personal rights include, what form of interaction is and is not appropriate, and the requirements of effective and visual supervision. Information obtained during interviews was contradictory and there were no corroborating direct witnesses or documentation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 51-CC-20251022143522
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: TEMPLE ADAT SHALOM
FACILITY NUMBER: 376105207
VISIT DATE: 01/06/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on this information, LPA could not prove nor disprove the above-referenced allegations. Therefore, they are considered Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

The Notice of Site Visit was provided, and LPA observed posting. Director is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Marilyn Milne.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 51-CC-20251022143522
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: TEMPLE ADAT SHALOM
FACILITY NUMBER: 376105207
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/20/2026
Section Cited
CCR
101230(a)(3)
1
2
3
4
5
6
7
Activities 101230
(a) Each center shall provide a variety of daily activities designed to meet the needs of children in care, including but not limited to:
(3) Eating
This requirement is not met as evidenced by..
1
2
3
4
5
6
7
Director provided LPA Rodriguez on 11/20/25 the agenda and sign in sign out sheet for the meeting which took place on 11/19/25 regarding personal rights and interference with a childs eating. Director states the staff handbook is currently being updated to include verbiage
8
9
10
11
12
13
14
Based on observation, interview and record
review, the facility did not meet the needs of children in care when they did not allow sufficient time for eating lunch, which poses an immediate Health, Safety or Personal Rights risks to persons in care.
8
9
10
11
12
13
14
regarding personal rights and interference with a childs eating and activities. Director sent the updated section of the handbook to LPA on 1/6/26.
Type B
01/30/2026
Section Cited
CCR
101219(f)
1
2
3
4
5
6
7
Admission Agreement 101219 (f)The licensee shall comply with all terms and conditions set forth in the admission agreement.
This requirement is not met as evidenced by..
1
2
3
4
5
6
7
Director states she understands that staff is to adhere to the discipline policy outlined in the admission agrement and will conduct a staff meeting on 1/28/26 to address with all staff. Roster and agenda will be provided to Licensing as proof of correction.
8
9
10
11
12
13
14
Based on observation, interview and record
review, the facility did not adhere to the discipline policy outlined in the admission agreement/ handbook which poses an immediate Health, Safety or Personal Rights risks to persons in care.
8
9
10
11
12
13
14
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: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5