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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005476
Report Date: 12/05/2019
Date Signed: 12/05/2019 10:19:54 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/03/2019 and conducted by Evaluator Farhan Bashir-Tariq
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20191203164255
FACILITY NAME:LIMA, BRUNA R.FACILITY NUMBER:
214005476
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
12/05/2019
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Bruna LimaTIME COMPLETED:
09:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is over capacity.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPAs) Farhan Bashir-Tariq and Simran Kaur arrived at the facility unannounced to meet Licensee Bruna Lima to conduct a complaint investigation inspection. Purpose of the inspection was explained. Present there were 6 children (2 infants and 4 preschoolers) in care with the Licensee and Husband, Gino Gorrichategui. Background check clearance is already on file for Licensee and Husband. The facility is operating within licensed capacity and ratio limits as of today 12/05/19.

This complaint was a follow up of the previous complaint that Department received regarding the same allegation. Inspection for the previous complaint was conducted on 11/20/19, where LPAs cited the Licensee and were there today to review the plan of correction. LPAs observed that there were only 2 infants present today. LPAs reviewed the plan of correction for the deficiency cited previously. A separate plan of correction inspection was also conducted today. As this compliant is a follow up of previous complaint with the same allegation, this complain will be considered closed as of today.

This agency has investigated the complaint alleging that Licensee is operating over capacity. Based on the information obtained, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.


This report and rights to comment and appeal were discussed with Licensee. This report must be available in the facility for public review. Notice of site visit shall be posted for 30 days from today's visit.


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Farhan Bashir-TariqTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019
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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