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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701203
Report Date: 01/21/2025
Date Signed: 03/10/2025 09:34:10 AM

Unsubstantiated


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
11/26/2024 and conducted by Evaluator Renita Rodriguez
COMPLAINT CONTROL NUMBER: 51-CC-20241126120605
FACILITY NAME:HILLSIDE VILLAGE HEAD START CHILD DEVELOPMENTFACILITY NUMBER:
376701203
ADMINISTRATOR:TANIA BELLOFACILITY TYPE:
850
ADDRESS:12979A COMMUNITY ROADTELEPHONE:
(858) 486-1284
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:40CENSUS: 9DATE:
01/21/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Tania BelloTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child sustained an injury while in care.




THIS IS AN AMENDED REPORT DELIVERED ON 3/10/25.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/21/25 at 1:30 pm, Licensing Program Analysts Renita Rodriguez and Hanna Lucas made an unannounced visit for the complaint received on 11/26/24 for the purpose of delivering findings on the above referenced allegation. LPAs met with Center Supervisor Tania Bello. The following ratios were observed today: 9 children and 4 staff.

Based on the information obtained during observations of the facility and interviews conducted for the allegation, "Child sustained an injury while in care”, as it was alleged that a child was hit on the rear-end leaving a hand print on 10/23/24. There were no photos of the injury available to LPA. Per Director, the picture viewed on the caregiver's phone was not clear. Interviews and documentation reviewed suggested the injury either looked like a handprint or a rash. Staff were not aware of any injuries until advised by caregiver the following day, on 10/24/24. Per interviews the child had an accident on 10/23/24 and was provided a pull up due to running out of underwear.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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