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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376626258
Report Date: 06/02/2022
Date Signed: 06/02/2022 12:48:05 PM

Unsubstantiated


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
04/19/2022 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220419155504
FACILITY NAME:HERNANDEZ, MARIA FAMILY CHILD CAREFACILITY NUMBER:
376626258
ADMINISTRATOR:MARIA HERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 203-2474
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:14CENSUS: 2DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Maria HernandezTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Children are confined in highchairs for an extended period of time

Children take naps on the floor
INVESTIGATION FINDINGS:
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On June 2, 2022 at 9:20 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection to conclude the licensing investigation regarding the above allegations. LPA advised Licensee Maria Hernandez of the inspection's purpose and she granted LPA facility entry. Present in the home was the Licensee, one (1) staff member, and two (2) children aged 2 - 2 1/2 years.

The investigation involved unannounced facility tours, staff - children observations and record reviews. The investigation also comprised of interviews with witnesses, children, parents, staff and the Licensee.

The Licensee denied children are confined in highchairs for an extended period of time or directly nap on the floor. Due to conflicting statements, the allegations children are confined in highchairs for an extended period and nap directly on the floor have been determined to be unsubstantiated. A finding that the complaint is Unsubstantiated means 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.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
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-20220419155504
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: HERNANDEZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376626258
VISIT DATE: 06/02/2022
NARRATIVE
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A notice of site visit was given and must remain posted for 30 days. Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to Licensee Maria Hernandez. Exit interview conducted and report was reviewed with the Licensee Maria Hernandez.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4