376100139-6-4-2020-51-CC-TDAL-BQQPL3-20200619112400

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376100139
Report Date: 06/04/2020
Date Signed: 06/04/2020 01:42:48 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
04/16/2020 and conducted by Evaluator Samantha Salunga

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20200416152342

FACILITY NAME:	WARSHAN, MARIAM FAMILY CHILD CARE		FACILITY NUMBER:	376100139
ADMINISTRATOR:	MARIAM WARSHAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 635-8059
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	14	CENSUS: 0	DATE:	06/04/2020
		UNANNOUNCED	TIME BEGAN:	01:18 PM
MET WITH:	Mariam Warshan		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Licensee is absent more than 20% of the hours that facility is providing child care.

INVESTIGATION FINDINGS:

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On 06/04/2020 at 1:18pm, LPA Samantha Salunga conducted a complaint televisit with Licensee, Mariam Warshan, due to the COVID-19 outbreak. LPA utilized CTS- Language Link, Nilou ID#: 9693, as Dari translator during televisit. During this visit, LPA delivered the findings for the above allegation. Licensee stated there is no one present in the facility besides herself. Throughout the investigation, LPA interviewed Licensee, staff and day care parents. LPA also obtained outside agency reports. LPA received conflicting statements throughout the investigation regarding the above allegation. Based on the information obtained during interviews, it is determined that although the above allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report, Notice of Site Visit and appeal rights (LIC 9058 01/16) was reviewed and will be e-mailed to the Licensee. Licensee was advised that acknowledgement of the receipt of this report is to be received within twenty-four hours. Licensee was advised to post the Notice of Site Visit for 30 days and failure to keep the posting will result in $100 civil penalty.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2020

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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