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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701231
Report Date: 05/04/2021
Date Signed: 05/04/2021 05:01:51 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-20210204123302
FACILITY NAME:ALPINE CHILDREN'S ACADEMYFACILITY NUMBER:
376701231
ADMINISTRATOR:COURTNEY MAGRATHFACILITY TYPE:
850
ADDRESS:2403 ALPINE BOULEVARDTELEPHONE:
(619) 445-5462
CITY:ALPINESTATE: CAZIP CODE:
91901
CAPACITY:50CENSUS: 12DATE:
05/04/2021
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Hunan Arshakian, LicenseeTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Facility is commingling children.
INVESTIGATION FINDINGS:
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On 05/14/2021 at 4:00 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; it was alleged the facility is commingling children. Licensee led LPA on a tour of the facility. There were 12 pre-school children in care at the time of inspection.

During the course of the investigation, interviews were conducted with the reporting party, daycare children, daycare parents, daycare teachers, director, and licensee. Daycare parents stated they have not observed pre-school and school-age children commingling; however, witnesses stated occasionally they have observed pre-school children commingling from 9:00 a.m – 12:30 p.m with school-age children in the pre-school classrooms. Interviews also confirmed staff was not avilable in the school-age classroom due to staff work schedule.

Based on interviews, the preponderance of evidence standard has been met that occasionally pre-school children were commingled between 9:00 a.m – 12:30 p.m, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, a Type B deficiency was cited during today’s inspection. See the attached LIC 9099D.
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 6
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-20210204123302

FACILITY NAME:ALPINE CHILDREN'S ACADEMYFACILITY NUMBER:
376701231
ADMINISTRATOR:COURTNEY MAGRATHFACILITY TYPE:
850
ADDRESS:2403 ALPINE BOULEVARDTELEPHONE:
(619) 445-5462
CITY:ALPINESTATE: CAZIP CODE:
91901
CAPACITY:50CENSUS: 12DATE:
05/04/2021
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Hunan Arshakian, LicenseeTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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9
Snacks provided to children are not the quality or quantity to meet the needs of the children.
INVESTIGATION FINDINGS:
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On 05/04/2021at 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 an allegation snacks provided to children are not the quality or quantity to meet the needs of the children. Licensee led LPA on a tour of the facility. There were 12 pre-school children in care at the time of inspection.

During the course of the investigation, interviews were conducted with the reporting party, daycare children, daycare parents, staff, and licensee. According to staff, licensee, daycare parents and children the facility provides am snack, lunch, and pm. Facility maintains a weekly meal menu reflecting food served daily to children in care; however, menu does not display the quantity for children ages 2-5 years old. Daycare children stated while in care they are provided snacks and meals. Parents interviewed did not express concerns regarding facility’s food services. LPA requested quantity and serving records; however, the facility did not provide the records.
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: 2 of 6
Control Number 20-CC-20210204123302
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: 376701231
VISIT DATE: 05/04/2021
NARRATIVE
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Due to conflicting statements obtained and observations made during the course of the investigation, the above allegation is found to be UNSUBSTANTIATED meaning that although the allegation 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 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: 3 of 6
Control Number 20-CC-20210204123302
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: 376701231
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/02/2021
Section Cited
CCR
1101161(a)
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Limitations on Capacity and Ambulatory Status. The licensee shall not exceed the conditions, limitations and capacity specified in the license. This requirement was not met as evidenced by: Facility's capacity conditions were violated when it was determined preschool and school-age children were commingled on occasion
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Licensee stated he will submit pre-school staff and children's schedule. Licensee stated he will submit a list of qualified staff that will cover classroom when the pre-school teacher is not available no later than 06/02/2021 to LPA.
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due to school-age staff not being present during 9:00 am – 12:30 pm. This poses a potential 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: 6 of 6