<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376614770
Report Date: 05/28/2020
Date Signed: 05/28/2020 07:29:03 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
02/21/2020 and conducted by Evaluator Marie Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20200221095938
FACILITY NAME:CONTRERAS, SUSANA & BARROSO, R FAMILY CHILD CAREFACILITY NUMBER:
376614770
ADMINISTRATOR:S. CONTRERAS & R. BARROSOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 210-4745
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 1DATE:
05/28/2020
UNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Susana Contreras, LicenseeTIME COMPLETED:
03:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect/Lack of Supervision - Day care child #1 sustained unexplained injury while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Due to the COVID-19 State of Emergency, Licensing Program Analyst (LPA), Marie Hernandez, conducted a Tele-Conference complaint investigation to deliver the complaint investigation findings via phone with the Licensee, Susana Contreras. There is one child present during the tele-conference today.

It is alleged that due to a lack of supervision, child #1 sustained an unexplained scratch on the face and a wound beneath the nose. Through the course of the complaint investigation inspection, LPA conducted several interviews with the Licensee, staff, several children, and several day-care parents. Several day-care parents stated they do not have any concerns regarding the Licensee at this time. Child #1 (child in question) could not be interviewed as child is too young and non-verbal. LPA also reviewed pertinent information pertaining to child #1’s injuries to the face and nose. Per the interviews with the Licensee, staff, and the children, they stated child #1 was attempting to take a piece of fruit from child #2, when child #2 attempted to stop child #1 from taking the fruit. Child #2 stated she did not mean to scratch child #1 on the face and nose. Child #2 stated it was an accident.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2020
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-20200221095938
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: CONTRERAS, SUSANA & BARROSO, R FAMILY CHILD CARE
FACILITY NUMBER: 376614770
VISIT DATE: 05/28/2020
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Per the interviews with the Licensee, and children, they stated at the time of incident, the Licensee was in the day care with the children. Per the Licensee, she intervened and redirected child #2 upon child #1 being scratched by child #2. The Licensee stated the incident was beyond her control, and not due to a lack of supervision. Child #2 admitted to scratching child #1, but not intentionally. It cannot be determined if child #1 sustained the injuries due to a lack of supervision by the Licensee. The Licensee stated she observed a tiny drop of blood underneath child #1’s nose, but that it did not continue to bleed. The Licensee stated child #1 had a faint-like scratch on the cheek. The Licensee stated she immediately reported the incident to the licensing office, and verbally advised the parent. The Licensee stated Spanish is her primary language, and she attempted to communicate with the parent, but the parent would not listen to her (Licensee). However, there was conflicting evidence and no witnesses to corroborate the allegation that due to a lack of supervision child #1 sustained an unexplained injury (scratch on the face and a wound beneath the nose). Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.

LPA Marie Hernandez explained the complaint investigation report, and the Licensee stated she understood. An exit interview was conducted, and a copy of the report was emailed to the Licensee. The Appeal Rights were discussed and provided. The Licensee was advised that acknowledgement of the receipt of the report is to be received within 24 hours. NOTE on Facility Signature: SEE FILE FOR ACKNOWLEDGEMENT.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2