376700416-4-8-2025-20-CC-GSEA-DFRJVM-20250415072319

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376700416
Report Date: 04/08/2025
Date Signed: 04/08/2025 04:19:13 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO 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
01/22/2025 and conducted by Evaluator Dana Stevens

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20250122140133

FACILITY NAME:	SKYLINE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	376700416
ADMINISTRATOR:	JACQUELINE SERRANO		FACILITY TYPE:	850
ADDRESS:	11330 CAMPO ROAD		TELEPHONE:	(619) 415-5485
CITY:	LA MESA	STATE: CA	ZIP CODE:	91941
CAPACITY:	72	CENSUS: 51	DATE:	04/08/2025
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Jacqueline Serrano		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff did not adequately supervise day care children.
Staff did not comply with reporting requirements.

INVESTIGATION FINDINGS:

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On 4/08/2025, Licensing Program Analyst (LPA) Dana Stevens conducted an unannounced complaint inspection to deliver findings on the above allegations. LPA met with Director, Jacqueline Serrano, and informed her of the reason for the visit. There were 51 children present with 9 staff members.

During the investigation LPA conducted three unannounced inspections of the facility, interviewed Director, Assistant Director, teachers, and daycare parents, and reviewed facility records.

During interviews it was revealed that an unusual incident occurred on 01/15/2025, when Staff 1 (S1) was providing one-on-one supervision of Child 1 (C1) in the facility lobby. While S1's attention was diverted to assisting a parent who had arrived in the lobby, C1 ran out the center front doors and proceeded to run down the steps leading to the parking lot, before being stopped halfway down the steps by an exiting parent. C1 was retrieved by S1, found to be unharmed and returned to their classroom until C1's parents arrived a short time later.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Cynthia Biszant
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025

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 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO 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
01/22/2025 and conducted by Evaluator Dana Stevens

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20250122140133

FACILITY NAME:	SKYLINE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	376700416
ADMINISTRATOR:	JACQUELINE SERRANO		FACILITY TYPE:	850
ADDRESS:	11330 CAMPO ROAD		TELEPHONE:	(619) 415-5485
CITY:	LA MESA	STATE: CA	ZIP CODE:	91941
CAPACITY:	72	CENSUS:	DATE:	04/08/2025
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Jacqueline Serrano		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff physically restrained day care children during nap time.

INVESTIGATION FINDINGS:

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On 4/08/2025, at 1:30 pm, Licensing Program Analyst (LPA) Dana Stevens conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA met with Director, Jacqueline Serrano, and informed her of the reason for the visit. There were 51 children present with 9 staff members.

During the investigation LPA conducted three unannounced inspections of the facility, interviewed Director, Assistant Director, teachers, security staff and daycare parents, and reviewed video footage and facility records.

Based on information obtained interviews and record review, there was conflicting information received regarding the above allegation, and LPA was unable to determine if the above allegation did or did not occur, thus this allegation is deemed Unsubtantiated.

Exit interview conducted and copy of report and appeal rights were provided to the Director. A notice of site visit was given and must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Cynthia Biszant
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 20-CC-20250122140133

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: SKYLINE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 376700416
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/08/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/16/2025 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	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:	1 2 3 4 5 6 7	Director stated that she will retrain staff on supervision and personal rights. Director will submit the agenda, summary of training and sign in sheet to the SDRO, no later than 04/16/2025.
	8 9 10 11 12 13 14	Based on interview and record review, the licensee did not comply with the section cited above as S1 did not maintain visual supervision as Child 1 (C1) ran out of the building and down the stairs, which posed an iimmediate health, safety, and personal rights risk to persons in care.	8 9 10 11 12 13 14
Type B 04/08/2025 Section Cited CCR 101212(a)(d)(1)(C)	1 2 3 4 5 6 7	101212 (a) Each licensee or applicant shall furnish to the Department reports... (d)Upon the occurrence...of any of the events specified... (1)Events reported shall include...(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.This requirement was not met as evidence by,	1 2 3 4 5 6 7	Director submitted an LIC624 on 01/31/2025, reporting the unusual incident.
	8 9 10 11 12 13 14	Based on interview and record review, the licensee did not comply with the section cited above as Director did not report timely the unusual incident of Child 1(C1) exiting the building without supervision, which poses a potential health, safety, and personal rights risk 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: Cynthia Biszant
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 20-CC-20250122140133

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: SKYLINE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 376700416
	VISIT DATE: 04/08/2025

NARRATIVE

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During interview, Director stated that this incident was not reported timely to Licensing because she initially believed it was not a reportable incident. Director stated she later became aware that S1 had not maintained visual supervision of C1 and reported the unusual incident to Licensing via an Unusual Incident Report (LIC624) on 01/31/2025.

Based on information obtained in interviews, the preponderance of evidence standard has been met and the above allegations are deemed Substantiated.

California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 9099-D.

Upon Receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

Exit interview conducted and copy of report and appeal rights were provided to the Director. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Cynthia Biszant
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025

LIC9099 (FAS) - (06/04)

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