376600965-7-21-2021-51-CC-RPAK-C5BVT4-20210727164227

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600965
Report Date: 07/20/2021
Date Signed: 07/21/2021 12:16:27 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
05/14/2021 and conducted by Evaluator Joelle Redding

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20210514114222

FACILITY NAME:	CHILDREN'S CHOICE		FACILITY NUMBER:	376600965
ADMINISTRATOR:	FREDA SIMMONS		FACILITY TYPE:	850
ADDRESS:	1465 EAST MADISON AVENUE		TELEPHONE:	(619) 442-4014
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	82	CENSUS:	DATE:	07/20/2021
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Chief Operating Office Jenni Grawvunder		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Child sustained several injuries while in care

INVESTIGATION FINDINGS:

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On 7/21/21 @ 11:45 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit to deliver findings on the above-referenced allegation.

Based on information obtained during LPA's observation, interviews and record review, there is not enough evidence to conclusively determine that the injuries the child incurred and were reported to parent can be attributed to the actions or inactions of the facility staff. Therefore, this allegation is considered Unsubstantiated. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies are cited.

Appeal Rights were discussed and provided. Signature at the bottom of the report confirms receipt. Notice of Site Visit was posted and will remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

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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