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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376628484
Report Date: 09/15/2022
Date Signed: 09/15/2022 11:33:05 AM

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
06/17/2022 and conducted by Evaluator Diana Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220617084105
FACILITY NAME:BEILESON, ELSA & OSCAR FAMILY CHILD CAREFACILITY NUMBER:
376628484
ADMINISTRATOR:ELSA & OSCAR B.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 608-7140
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 2DATE:
09/15/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Elsa Beileson, ProviderTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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9
Day care child sustained injuries while in care
INVESTIGATION FINDINGS:
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On September 15, 2022, at 10:30 AM, Licensing Program Analyst (LPA), Diana Sanchez made an unannounced complaint inspection to deliver the complaint investigation findings for the above allegation. LPA met with provider Elsa Beileson and made her aware of the reason for today’s inspection. Current census is 2.

This agency has investigated the above listed allegation. During the course of the investigation, facility staff, children, daycare parents, and representatives from outside agencies were interviewed. Daycare child (C1)’s facility file and child welfare services report were reviewed.

It was alleged that on 06/13/22, daycare child (C1) sustained an unexplained injury at the facility and on 6/16/22, C1 had a bump on forehead. Provider and staff denied the allegation, stating that C1 came into daycare with the neck marks and did not have any bump on forehead when released to family. During children and parents’ interviews, they did not disclose any concerns or issues with the facility or staff. There were no other witnesses to corroborate the allegation and no medical records were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
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 2
Control Number 20-CC-20220617084105
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: BEILESON, ELSA & OSCAR FAMILY CHILD CARE
FACILITY NUMBER: 376628484
VISIT DATE: 09/15/2022
NARRATIVE
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Based on the evidence gathered, LPA was unable to determine whether or not the allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Exit interview conducted and report was reviewed with Provider Elsa Beileson. A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2