376614646-3-19-2020-20-CC-TVUU-BNQRNA-20200416130958

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376614646
Report Date: 03/19/2020
Date Signed: 03/19/2020 11:45:06 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
02/07/2020 and conducted by Evaluator JoAnn R Legaspi

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20200207122345

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: 4	DATE:	03/19/2020
		UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Humberto Israel Vazquez		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Day care child's toileting needs not met by the Licensee;

Day care child was fed the wrong food while in care;

Staff argued with client in front of day care children;

Day care child sustained unexplained injury while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection to conclude the complaint investigation regarding the above allegations. LPA advised Staff Humberto Israel Vazquez of the inspection's purpose and was granted facility entry. Staff Vazquez, three other staff and four (4) children (three (3) school aged children and one (1) toddler) were present during the inspection.

It was alleged that a day care child’s toiletry needs were not met by the Licensee, the daycare child was fed the wrong food, staff argued with a parent in front of daycare children and a daycare child sustained an unexplained injury while in care. The investigation involved interviews of daycare children, parents of daycare children, the Licensee, staff and outside sources. The investigation also involved reviews of licensing, facility and outside source records. The Licensee and staff stated the child in issue was regularly changed while in care. They denied the child was fed incorrect food. They denied they argued with a client in front of daycare

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2020

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-20200207122345

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
	VISIT DATE: 03/19/2020

NARRATIVE

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children. Lastly, the Licensee and staff denied the child in issue sustained an injury while in care while in care. There was an absence of corroborating evidence.

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.

A Notice of Site Visit (LIC 9213) is to be posted for thirty (30) days. This document was provided to staff. An exit interview was conducted with Staff Humberto Israel Vazquez. Licensee/Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to staff and their signature on this form confirms receipt of these rights.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2020

LIC9099 (FAS) - (06/04)

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