376100166-1-13-2022-51-CC-MCUY-CASQTB-20220118112648

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376100166
Report Date: 01/13/2022
Date Signed: 01/13/2022 11:44:45 AM

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
11/17/2021 and conducted by Evaluator Keturah Lane

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20211117084339

FACILITY NAME:	ABDALLA, LEYLA FAMILY CHILD CARE		FACILITY NUMBER:	376100166
ADMINISTRATOR:	LEYLA ABDALLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 279-9140
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	14	CENSUS: 0	DATE:	01/13/2022
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Leyla Abdalla		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Conduct Inimical

INVESTIGATION FINDINGS:

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On 1/13/22 at 10:50 AM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced complaint inspection to deliver findings regarding the above allegation. Upon arrival, LPA met with Licensee, Leyla Abdalla. Also present in the home were Licensee's two minor children. There were no daycare children in care. LPA discussed findings with the Licensee through Language Link (Somali interpreter). Licensee stated, "I didn't know it was illegal. It was from welfare. My lawyer gave me options."

The Department fully investigated the above allegation and obtained information from facility file review, documents & interview with Licensee, and documents from other agencies. Based upon this information, the preponderance of evidence standard has been met and the allegation of conduct inimical is therefore SUBSTANTIATED. Pursuant to Title 22 of the CA Code of Regulations, the following Type A deficiency was cited (refer to LIC9099-D.)
(Continued on LIC-9099-C...)

Substantiated

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: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

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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Control Number 51-CC-20211117084339

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: ABDALLA, LEYLA FAMILY CHILD CARE	FACILITY NUMBER: 376100166
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/10/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/14/2022 Section Cited HSC 1596.885(c)	1 2 3 4 5 6 7	1596.885 - Denial, suspension or revocation of license, registrations, or special permits; grounds The department may...suspend or revoke any license...issued under this act upon any of the following grounds and in the manner provided in this act: (c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement was not met as evidenced by...	1 2 3 4 5 6 7	Licensee will provide a written statement that she is aware of the Health and Safety Code above, understands what it means and agrees to abide by it. The deficiency will be elevated to management for further review. Written statement will be provided to Licensing within 24 hours.
	8 9 10 11 12 13 14	Based upon review of agency records, Licensee admitted to conduct inimical which poses an immediate health, safety and personal rights risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

LIC9099 (FAS) - (06/04)

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Control Number 51-CC-20211117084339

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: ABDALLA, LEYLA FAMILY CHILD CARE	FACILITY NUMBER: 376100166
	VISIT DATE: 01/10/2022

NARRATIVE

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LPA Lane informed Licensee Leyla Abdalla that this report dated 1/13/22 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety or personal rights of children in care.

Also, LPA Lane informed licensee to provide a copy of this licensing report dated 1/13/22 that documents any Type A citation to parents/guardian of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of receipt of Licensing Report (LIC9224), or other written statement, must be place in the child's file for verification.

An exit interview was conducted with the Licensee. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) were provided along with the report (LIC9099) to the Licensee. LPA Lane observed Notice of Site Visit being posted and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

LIC9099 (FAS) - (06/04)

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