376609090-9-4-2019-20-CC-MCUY-BGNQT7-20191005122641

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376609090
Report Date: 09/04/2019
Date Signed: 09/04/2019 09:08:14 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
08/01/2019 and conducted by Evaluator Nancy Diaz

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20190801110210

FACILITY NAME:	MIRANDA, MARTHA FAMILY CHILD CARE		FACILITY NUMBER:	376609090
ADMINISTRATOR:	MIRANDA, MARTHA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 817-5794
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92104
CAPACITY:	14	CENSUS: 1	DATE:	09/04/2019
		UNANNOUNCED	TIME BEGAN:	08:48 AM
MET WITH:	Martha Miranda		TIME COMPLETED:	09:10 AM

ALLEGATION(S):

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Personal rights
1. Licensee provided daycare children with unknown substance.
2. Licensee restrained daycare child in car seat.

INVESTIGATION FINDINGS:

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An unannounced complaint investigation was conducted by LPAs Nancy Diaz and Elizabeth Rivera. Mrs. Miranda was home today supervising one daycare child.
During the course of the investigation, LPA conducted interviews with the licensee, licensee's son, daycare children and parents of children. Based on the information gathered, it could not be conclusively determined whether Mrs. Miranda provided daycare children with unknown substance or restrained them in car seat. LPA is unable to determine whether or not the allegations actually occurred, and therefore the preponderance of evidence standard has not been met. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore LPA found the complaint allegations to be UNSUBSTANTIATED.
NO DEFICIENCY CITED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carolina Ramos	TELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

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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