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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 136610248
Report Date: 07/05/2022
Date Signed: 07/05/2022 12:20:28 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
06/02/2022 and conducted by Evaluator Diana Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220602105525
FACILITY NAME:GONZALEZ, RAQUEL FAMILY CHILD CAREFACILITY NUMBER:
136610248
ADMINISTRATOR:RAQUEL GONZALEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 259-5574
CITY:IMPERIALSTATE: CAZIP CODE:
92251
CAPACITY:14CENSUS: 6DATE:
07/05/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Raquel Gonzalez, ProviderTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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Daycare child sustained unexplained injury

Daycare child fed with unclean bottle
INVESTIGATION FINDINGS:
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On July 5, 2022, at 11:30 AM, Licensing Program Analyst (LPA), Diana Sanchez made an unannounced complaint inspection to deliver the complaint investigation findings for the above allegations. LPA met with provider Raquel Gonzalez and made her aware of the reason for today’s inspection. Inspection was conducted in Spanish. Current census is 6.

This agency has investigated the above listed allegations. During the course of the investigation, facility staff, children and daycare parents were interviewed.

It was alleged that on 05/26/22, daycare child (C1) sustained an unexplained injury at the facility. Provider and staff denied the allegations, stating that they released C1 to their guardian with no diaper rash or alleged injury. Staff stated that the following morning there was no indication that C1’s had suffered an injury or diaper rash. There were no other witnesses to corroborate the allegation and no medical records were provided.

It was alleged on 06/01/22, C1 was fed with an unclean bottle. Provider and staff denied the allegation. Provider stated that all baby bottles are left soaking in the sink right after feeding and then fully washed before feeding.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2022
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-20220602105525
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: GONZALEZ, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 136610248
VISIT DATE: 07/05/2022
NARRATIVE
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Based on the evidence gathered, LPA was unable to determine whether or not the allegations occurred. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview conducted and report was reviewed with Provider Raquel Gonzalez. 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.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2