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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701401
Report Date: 08/29/2023
Date Signed: 08/29/2023 01:47:45 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
08/28/2023 and conducted by Evaluator Patrick Ma
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20230828103256
FACILITY NAME:HILLTOP PRESCHOOL INFANTFACILITY NUMBER:
376701401
ADMINISTRATOR:MARLA MARTINFACILITY TYPE:
830
ADDRESS:12348B CASA AVENIDATELEPHONE:
(858) 486-6712
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:24CENSUS: 10DATE:
08/29/2023
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Marla MartinTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff are not following safe sleep practice techniques for daycare children
INVESTIGATION FINDINGS:
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On 8/29/23 at 12:00pm Licensing Program Analyst (LPA) Patrick Ma made an unannounced visit to initiate an investigation, for the complaint received on 8/28/23, regarding the above allegation and delivered findings. LPA was already present at the faciltiy for a different purpose. Present in the facility were 10 day care children with 3 staff in one room. LPA conducted interviews with staff, made a confidential names list, and reviewed children’s files.

Based on the information obtained during interviews, documentation reviewed, and LPA observing 2 infants asleep in swings for over 10 minutes it is determined that the allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. See LIC 9099D for deficiency cited.
Exit interview conducted and report was reviewed with the facility representative Marla Martin. A notice of site visit was given to licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023
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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Control Number 51-CC-20230828103256
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: HILLTOP PRESCHOOL INFANT
FACILITY NUMBER: 376701401
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/29/2023
Section Cited
CCR
101430(a)(3)(E)
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(E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.
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Director stated she will conducted a staff meeting on Infant sleep regulations and provide LPA's with an agenda of topics discussed and a copy of a signed sheet from staff members confirming that they participated in the training.
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Based on LPA's interviews with staff and observing infants asleep in swings for over 10 minutes observation, this poses an potential health and safety risk and/or personal rights violation to 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: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2