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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376100239
Report Date: 01/14/2022
Date Signed: 01/14/2022 12:21:36 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
10/19/2021 and conducted by Evaluator Grace Curtis
COMPLAINT CONTROL NUMBER: 51-CC-20211019160911
FACILITY NAME:HANNA, ANNA FAMILY CHILD CAREFACILITY NUMBER:
376100239
ADMINISTRATOR:ANNA HANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 729-9965
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:14CENSUS: 1DATE:
01/14/2022
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Anna HannaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Licensee is operating over capacity.
INVESTIGATION FINDINGS:
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On January 14, 2022 at 10:45 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced inspection to deliver the findings on the complaint allegation referenced above. Upon arrival LPA met with Licensee Anna Hanna and proceeded to tour the facility. There was one infant child present. Interpreter ID#12324 translated for Licensee. The licensee's primary language is Arabic. The initial complaint investigation was conducted by LPA Curtis on 10/26/21. Throughout the course of investigation, interviews were conducted with the complainant, licensee, several parents and the licensee's helper. Facility records were obtained and reviewed from the licensee and an outside alternative payment organization. On 8/13/21 the licensee exceeded license capacity by providing care for up to a total of 21 children at one time.

Based on interviews conducted by LPA and documentation obtained from an outside agency the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED, California Code of Regulations, Title 22, 102416.5(a) is being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022
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 51-CC-20211019160911
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: HANNA, ANNA FAMILY CHILD CARE
FACILITY NUMBER: 376100239
VISIT DATE: 01/14/2022
NARRATIVE
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Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - AB 633 Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.

LPA reviewed capacity worksheet with Licensee. Licensee states she understands the Staffing Ratio and Capacity regulation. An exit interview was conducted with Licensee. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) were provided to the licensee and her signature on this form acknowledges receipt of these rights. LPA observed Notice of Site Visit being posted. Notice of Site visit must remain posted at the facility for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 51-CC-20211019160911
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: HANNA, ANNA FAMILY CHILD CARE
FACILITY NUMBER: 376100239
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/07/2022
Section Cited
CCR
102416.5(a)
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102416.5 Staffing Ratio and Capacity: (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement was not met as evidenced by:
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Licensee states that she will provide LPA with a copy of YMCA and PCG alternate payment forms for January 2022, an updated roster and daycare children schedule via email by POC due date of 2/7/22 .
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Based on interview with licensee and helper, and documentation obtained from an outside agency, it is determined that Licensee operated over capacity on 8/13/21 by providing care for up to a total of 21 children at one time. This poses an immediate health and safety risk to children in care.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3