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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376608782
Report Date: 12/10/2020
Date Signed: 12/10/2020 12:43:25 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
11/19/2020 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20201119155436
FACILITY NAME:RIVAS, ROSA & FAUSTO FAMILY CHILD CAREFACILITY NUMBER:
376608782
ADMINISTRATOR:RIVAS, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 475-4686
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:14CENSUS: 4DATE:
12/10/2020
UNANNOUNCEDTIME BEGAN:
12:14 PM
MET WITH:Fausto RivasTIME COMPLETED:
12:24 PM
ALLEGATION(S):
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Food services are unsanitary
INVESTIGATION FINDINGS:
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On December 10, 2020 at 12:14 PM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a complaint inspection to conclude the investigation regarding the above allegation. LPA advised the Licensees of the meeting’s purpose. Due to the COVID 19 outbreak, this inspection was done as a tele visit via the FaceTime platform. Present in the daycare were three (3) toddlers, one (1) school aged child and both Licensees..

It was alleged that the facility’s food services were unsanitary. The investigation involved interviews of daycare children, daycare parents, the Licensees, the staff member and outside sources. The investigation also involved reviews of licensing, facility and outside source records. The investigation also involved unannounced facility tele visits.

Due to conflicting information, the above allegations have been determined “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 violations occurred. No deficiencies cited.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2020
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 2
Control Number 20-CC-20201119155436
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: RIVAS, ROSA & FAUSTO FAMILY CHILD CARE
FACILITY NUMBER: 376608782
VISIT DATE: 12/10/2020
NARRATIVE
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A Notice of Site Visit (LIC 9213) is to be posted for thirty (30) days. LPA electronically provided this document to the Licensees. An exit interview was conducted. A copy of this report and Licensee/Appeal Rights (LIC 9058) will be e-mailed to the Licensees. The Licensees were advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2