376618168-11-20-2019-20-CC-TDAL-BJLSBS-20191206124423

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376618168
Report Date: 11/20/2019
Date Signed: 11/20/2019 10:41:52 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
08/12/2019 and conducted by Evaluator Nancy Diaz

COMPLAINT CONTROL NUMBER: 20-CC-20190812143933

FACILITY NAME:	RONQUILLO, SUSAN FAMILY CHILD CARE		FACILITY NUMBER:	376618168
ADMINISTRATOR:	SUSAN RONQUILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 292-2297
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	14	CENSUS: 3	DATE:	11/20/2019
		UNANNOUNCED	TIME BEGAN:	09:42 AM
MET WITH:	Susan Ronquillo		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Daycare child sustained injury while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection to deliver the findings for the above allegation. Upon arrival, LPA met with Susan Ronquillo, Licensee. Observed present today were three children. Also present was licensee's husband, Richard Ronquillo. The initial complaint inspection was conducted on 08/14/2019. The above allegation was investigated by the Investigations Branch (IB) of Community Care Licensing Division. Based on the information gathered, the investigator could not determine whether personal rights violation occurred at the facility regarding the above allegations. Although the allegations 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. Exit interview was conducted with Mrs. Ronquillo. The NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Mrs. Ronquillo post notice of site visit. LPA provided and reviewed a copy of appeal rights (LIC 9058) with Mrs. Ronquillo, her signature on this form acknowledges receipt of these rights.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 11/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2019

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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