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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701230
Report Date: 05/04/2021
Date Signed: 05/04/2021 05:20:40 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
02/04/2021 and conducted by Evaluator Michelle Hood
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20210204121043
FACILITY NAME:ALPINE CHILDREN'S ACADEMYFACILITY NUMBER:
376701230
ADMINISTRATOR:COURTNEY MAGRATHFACILITY TYPE:
830
ADDRESS:2403 ALPINE BOULEVARDTELEPHONE:
(619) 445-5462
CITY:ALPINESTATE: CAZIP CODE:
91901
CAPACITY:14CENSUS: 1DATE:
05/04/2021
UNANNOUNCEDTIME BEGAN:
04:25 PM
MET WITH:Hunan Arshakian, LicenseeTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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Infants are napping in bouncers.
INVESTIGATION FINDINGS:
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On 05/04/2021 at 4:25 p.m, Licensing Program Analyst (LPA) Michelle Hood, conducted an unannounced video-conference complaint inspection via FaceTime, due to the COVID-19 outbreak, with licensee. LPA Hood notified licensee the purpose of the inspection was to deliver findings on allegation infants are napping in bouncers. Licensee led LPA on a tour of the facility. There was one (1) infant in care with one staff at the time of inspection.

Based on interview and admittance, the preponderance of evidence standard has been met in which a staff member, occasionally allows infants to remain napping in a bouncer/rocker, therefore the allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, a Type A deficiency was cited during today’s inspection. See the attached LIC 9099 D page.

AB633 requires upon receipt, Licensee shall post (observed by LPA) 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. An Acknowledgment of Receipt of Licensing Reports, Form LIC 9224 must be signed and placed in each child’s file.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021
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
Control Number 20-CC-20210204121043
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: ALPINE CHILDREN'S ACADEMY
FACILITY NUMBER: 376701230
VISIT DATE: 05/04/2021
NARRATIVE
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A copy of this report and appeal rights (LIC 9058) will be emailed to the licensee and licensee was advised that acknowledgement and receipt of the report and appeal rights is to be received within twenty-four hours. Licensee was advised to post the LIC 9213 for 30 days. An exit interview was conducted with licensee.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
02/04/2021 and conducted by Evaluator Michelle Hood
COMPLAINT CONTROL NUMBER: 20-CC-20210204121043

FACILITY NAME:ALPINE CHILDREN'S ACADEMYFACILITY NUMBER:
376701230
ADMINISTRATOR:COURTNEY MAGRATHFACILITY TYPE:
830
ADDRESS:2403 ALPINE BOULEVARDTELEPHONE:
(619) 445-5462
CITY:ALPINESTATE: CAZIP CODE:
91901
CAPACITY:14CENSUS: 1DATE:
05/04/2021
UNANNOUNCEDTIME BEGAN:
04:25 PM
MET WITH:Hunan Arshakian, LicenseeTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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Infant classroom operating without teacher supervision.
Staff warming bottles in unsafe manner.
INVESTIGATION FINDINGS:
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On 05/04/2021 at 4:15 p.m, Licensing Program Analyst (LPA) Michelle Hood, conducted an unannounced video-conference complaint inspection via FaceTime, due to the COVID-19 outbreak, with licensee. LPA Hood notified licensee the purpose of the inspection was to deliver findings on allegations infant classroom operating without teacher supervision and staff warming bottles in unsafe manner. Licensee led LPA on a tour of the facility. There were one (1) infant in care at the time of inspection.

During the course of the investigation, LPA conducted interviews with the licensee, staff, and daycare parents. Staff stated they cannot observe the infant classroom from where their classrooms are located. Daycare parents stated during Covid-19, staff bring infants to and from the infant classroom. Some staff will use the microwave to warm water or hot faucet water. Other interviews revealed it was reported some staff have used the microwave to warm infant bottles. Due to conflicting statements obtained and observations made during the course of the investigation, the above allegations are found to be UNSUBSTANTIATED meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

A copy of this report and appeal rights (LIC 9058) will be emailed to the licensee and licensee was advised that acknowledgment and receipt of the report and appeal rights is to be received within twenty-four hours. Licensee was advised to post the LIC 9213 for 30 days. An exit interview was conducted with licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021
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 4
Control Number 20-CC-20210204121043
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: ALPINE CHILDREN'S ACADEMY
FACILITY NUMBER: 376701230
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/02/2021
Section Cited
CCR
101223(a)(2)
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101223(a)(2) Personal Rights
To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by: Based on interview and staff admittance, the facility did not accord safe and healthful furniture, the Department has determined a staff occasionally
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Licensee stated the rocker/bouncer will be removed from the infant room. Licensee stated he will provide a signed agenda from each staff including safe sleep, personal rights training no later than 06/02/2021.
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allowed infants to continue napping in a bouncer/rocker instead of placing infant in a crib. Manufacturer recommendation indicates that it is not meant for sleeping. This poses an immediate risk to the 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: Tulam Vu
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4