376100019-9-8-2021-51-CC-MCUY-C6Q4RA-20210909191934

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376100019
Report Date: 09/08/2021
Date Signed: 09/08/2021 03:36:41 PM

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
06/22/2021 and conducted by Evaluator Keturah Lane

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20210622132846

FACILITY NAME:	GUERRA, DINA FAMILY CHILD CARE		FACILITY NUMBER:	376100019
ADMINISTRATOR:	DINA GUERRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 252-2062
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	14	CENSUS: 7	DATE:	09/08/2021
		UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Dina Guerra		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee hit day care child

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 9/8/21 at 3:15 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced complaint inspection to deliver findings regarding the above allegation. LPA Lane met with Licensee Dina Guerra. Census was 7 children.
The Department fully investigated the above allegation and obtained information from interviews with reporting party, enrolled children & their parents, staff member and Licensee. Based upon this information, although the allegation that Licensee hit day care child may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred at this facility and is therefore UNSUBSTANTIATED.

An exit interview was conducted with the Licensee. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) was provided along with the report (LIC9099) to the Licensee. LPA Lane observed Notice of Site Visit being posted. Notice of Site Visit must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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