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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600965
Report Date: 12/17/2021
Date Signed: 12/17/2021 11:06:51 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
10/19/2021 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20211019085721
FACILITY NAME:CHILDREN'S CHOICEFACILITY NUMBER:
376600965
ADMINISTRATOR:FREDA SIMMONSFACILITY TYPE:
850
ADDRESS:1465 EAST MADISON AVENUETELEPHONE:
(619) 442-4014
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:82CENSUS: 60DATE:
12/17/2021
UNANNOUNCEDTIME BEGAN:
10:45 PM
MET WITH:Freda SimmonsTIME COMPLETED:
11:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff hit child in care
Facility staff yelled at child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/17/21 at 10:45 AM Licensing Program Analyst (LPA) Adrian Mangina made an unannounced complaint visit for the complaint received on 10/19/21 for the purpose of delivering findings on the above referenced allegations.

The Department fully investigated the above allegations and obtained information from facility file review, facility documents as well as from interviews with complainant, staff members and the Director. It was found that although the allegations may have happened, therefore the allegations are UNSUBSTANTIATED. Although there was not enough evidence to determine if Staff#1 actually hit Child #1, it was determined that the staff in question did use a hands on approach to "redirect" Child #1. Facility was given a Technical Assistance on LIC9102 dated 12/17/21. An exit interview was conducted with Facility Representative Freda Simmons. Notice of Site Visit (LIC9213) was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
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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