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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376611909
Report Date: 10/02/2020
Date Signed: 10/02/2020 05:14:55 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
09/24/2020 and conducted by Evaluator Tyra Block
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20200924162121
FACILITY NAME:CASAS, SILVIA FAMILY CHILD CAREFACILITY NUMBER:
376611909
ADMINISTRATOR:SILVIA CASASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 715-6181
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:14CENSUS: DATE:
10/02/2020
UNANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:Silvia CasasTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Uncleared adult present in the daycare home
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Tyra Block, conducted an unannounced complaint inspection regarding the above allegation via Zoom due to COVID-19 State of Emergency. Licensee was present with 1 daycare child and daughter Laura Casas who assists at the day care. Facility is within licensed ratio and capacity. LPA discussed requirements for Criminal Record Clearance and obtained children's facility roster.

Based on the information obtained during interviews with Licensee and her daughter Laura and documentation 3 adult family members do not have fingerprint clearance, the preponderance of the evidence has been met, therefore, the allegation above is found to be SUBSTANTIATED. The deficiency is being cited on the attached LIC 9099D. A Civil Penalty was assessed. 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. The Notice of Site Visit was provided by email. Licensee is advised it must be posted for 30 days. An exit interview was conducted and a copy of this report and Appeal Rights (1/16) were discussed and provided. Licensee will acknowledge receipt through email confirmation.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2020
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 3
Control Number 51-CC-20200924162121
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: CASAS, SILVIA FAMILY CHILD CARE
FACILITY NUMBER: 376611909
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/09/2020
Section Cited
CCR
102370(d)(1)
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Criminal Record Clearance-102370(d)(1) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall...(1) Obtain a California clearance......this requirement was not met as evidenced by:
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Licensee will ensure that Adult #1, 2 and 3 submit fingerprints and is cleared prior to being permitted to be at the day care when children are present.
On Monday, 10/5/20 Licensee will submit proof of scheduled appointment within 5 days.
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Licensee's 3 uncleared adult family members are present in the child care during operating hours when children are present. This poses an immediate health and safety risk to persons 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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3