376614646-5-3-2019-20-CC-JGAY-BEFVUH-20190726164446

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376614646
Report Date: 05/01/2019
Date Signed: 05/03/2019 07:43:31 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
04/24/2019 and conducted by Evaluator Adrian Castellon

COMPLAINT CONTROL NUMBER: 20-CC-20190424132138

FACILITY NAME:	VAZQUEZ, EUNICE & ISIDORO FAMILY CHILD CARE		FACILITY NUMBER:	376614646
ADMINISTRATOR:	VAZQUEZ, EUNICE & ISIDORO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 267-5264
CITY:	NATIONAL CITY	STATE: CA	ZIP CODE:	91950
CAPACITY:	14	CENSUS: 9	DATE:	05/01/2019
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Eunice Vazquez		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility is operating out of ratio

INVESTIGATION FINDINGS:

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LPA Adrian Castellon conducted a ten day complaint investigation on this date. LPA Castellon met with licensee Vazquez and discussed the purpose of the inspection. Facility is within ratio and capacity on this date.

On 04.24.19, the SDCCRO received a complaint report alleging that the Vazquez Family Child Care was out of ratio while providing care on the same date. LPA Castellon conducted staff interviews on this date. Based on information provided by the reporting party and the licensee's own admission, the preponderance of the evidence standard has been met, therefore the above allegation, that the facility was out of ratio when the staff provided care for 5 infants when a total of 12 children were present, is found to be Substantiated and is being cited on the attached LIC 9099D. The licensee was provided a copy of the Appeal Rights and their signature on this form acknowledges receipt of these rights.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carolina Ramos	TELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2019

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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Control Number 20-CC-20190424132138

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: VAZQUEZ, EUNICE & ISIDORO FAMILY CHILD CARE	FACILITY NUMBER: 376614646
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/01/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/01/2019 Section Cited CCR 102416.5(d)(1)	1 2 3 4 5 6 7	102416.5(d)(1) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:	1 2 3 4 5 6 7	Licensee Vazquez shall submit a written plan detailing the steps she will take to ensure that the facility is always within ratio. To be submitted by 05.11.19.
	8 9 10 11 12 13 14	(1) Twelve children, no more than 4 infants. This requirement was not met as evidenced by reporting party's report and licensee's own admission that the facility provided care for 5 infants when 12 children were present for approximately one hour on 04.24.19. This poses a potential health and safety threat to clients in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Jason Garay	TELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2019

LIC9099 (FAS) - (06/04)

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