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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600278
Report Date: 12/13/2023
Date Signed: 12/13/2023 11:50:11 AM

Unsubstantiated


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
11/15/2023 and conducted by Evaluator Grace Curtis
COMPLAINT CONTROL NUMBER: 51-CC-20231115104526
FACILITY NAME:MAAC GOSNELLFACILITY NUMBER:
376600278
ADMINISTRATOR:BRENDA HOLLANDFACILITY TYPE:
850
ADDRESS:139 GOSNELL WAYTELEPHONE:
(760) 736-3066
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:112CENSUS: 60DATE:
12/13/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Brenda HollandTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Personal Rights: Staff member handled daycare child in a rough manner.
INVESTIGATION FINDINGS:
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On December 13, 2023 at 10:30 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced inspection to deliver the finding on the complaint allegation referenced above. Upon arrival LPA met with Director Brenda Holland and proceeded to tour the facility. There were 60 children present with 16 staff members. Appropriate ratio/capacity was observed. Staff members have the required background clearances and are associated to the facility.

The initial complaint investigation was conducted by LPA Curtis on 11/17/23. Throughout the course of investigation, interviews were conducted with several staff members, several parents and several children. The information obtained from interviews were contradictory to the allegation. Based on this information, the allegation is determined to be unsubstantiated which means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged incident or violation occurred at the facility.

No deficiencies are cited.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
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-20231115104526
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: MAAC GOSNELL
FACILITY NUMBER: 376600278
VISIT DATE: 12/13/2023
NARRATIVE
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An exit interview was conducted, and this report was reviewed with Director Holland. A copy of this report as well as a Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) were provided to the director and her signature on this form acknowledges receipt of these rights. LPA observed Notice of Site Visit being posted. Notice of Site visit must remain posted at the facility for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2