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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334820556
Report Date: 03/06/2020
Date Signed: 03/06/2020 01:47:06 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/02/2020 and conducted by Evaluator Taadhimeka Zeigler
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20200302133005
FACILITY NAME:GALINDO FAMILY CHILD CAREFACILITY NUMBER:
334820556
ADMINISTRATOR:DOLORES VERDUZCO GALINDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 396-0726
CITY:MECCASTATE: CAZIP CODE:
92254
CAPACITY:14CENSUS: 4DATE:
03/06/2020
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Dolores Galindo, LicenseeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Child #1 was bitten by a dog.
INVESTIGATION FINDINGS:
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Licensing Program Analyst's (LPA's), Taadhimka Ziegler and Carlos Martinez, made an initial 10-Day unannounced complaint investigation visit to address allegation noted above. LPA's met with Dolores Galindo, Licensee, for an interview and to discuss allegations.

Per information gathered, and pertinent interviews conducted, LPA Martinez corroborated allegation that Child #1 was bitten by a dog while in the day care. According to the Licensee, the child was petting the family dog when it suddenly bit the child on the lip for no apparent reason. Galindo, stated that the incident occurred while she was in the kitchen getting water for another child and did not observe the incident when it happened, however, admitted that it occurred under her care. Therefore, based on the information gathered, the allegation that Child #1 was bitten by a dog is SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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 3
Control Number 09-CC-20200302133005
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GALINDO FAMILY CHILD CARE
FACILITY NUMBER: 334820556
VISIT DATE: 03/06/2020
NARRATIVE
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An exit interview was conducted with Dolores Galindo, Licensee, appeal rights were explained, and a Notice of Site Visit was issued and must be posted for 30 days.

A copy of this report was provided to the facility. This report must be made available for public view for 3 years upon request.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20200302133005
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GALINDO FAMILY CHILD CARE
FACILITY NUMBER: 334820556
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/09/2020
Section Cited
CCR
102423(a)
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PERSONAL RIGHTS:

Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee
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Licensee agreed to keep the family dog away from all children and will submit a written statement. In addition, the Licensee stated the dog will be removed from the day care effective 03/26/20.
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regardless of consent or authorization from the child's authorized representative. This requirement was not met as evidenced by: Licensee admitted that the dog in the house bit Child #1 in the lip.
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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.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3