376618942-4-29-2019-20-CC-JGAY-BBRSLF-20190501135812

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376618942
Report Date: 04/29/2019
Date Signed: 04/29/2019 01:09:55 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
02/01/2019 and conducted by Evaluator Michelle Hood

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20190201104639

FACILITY NAME:	TEON, LUPITA FAMILY CHILD CARE		FACILITY NUMBER:	376618942
ADMINISTRATOR:	LUPITA TEON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 579-5587
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	14	CENSUS: 11	DATE:	04/29/2019
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Lupita Teon, Licensee		TIME COMPLETED:	01:25 PM

ALLEGATION(S):

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Staff forced daycare child to stay awake.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michelle Hood conducted an unannounced complaint inspection for the purpose of delivering complaint findings in regards to the above allegation. LPA met with Licensee. LPA interviewed 1 staff member. There were 11 children being supervised by 3 staff.

It was alleged staff forced daycare child to stay awake. Interviews were conducted with facility staff, day care parents and daycare children. LPA observed a video of a daycare child falling asleep outside in a highchair. LPA observed a staff member pressing a spoon of baby food on a daycare child’s lips. Licensee admitted forcing child to eat; however, licensee stated once child fell asleep she placed child in crib. Staff members interviewed denied observing any staff forcing children to stay awake. Based on LPA’s observation of video the preponderance of evidence standard has been met that the facility interfered with a daycare child’s sleeping but attempting to force child to eat, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 9099D.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2019

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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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
02/01/2019 and conducted by Evaluator Michelle Hood

COMPLAINT CONTROL NUMBER: 20-CC-20190201104639

FACILITY NAME:	TEON, LUPITA FAMILY CHILD CARE		FACILITY NUMBER:	376618942
ADMINISTRATOR:	LUPITA TEON		FACILITY TYPE:	810
ADDRESS:	543 LA RUE WAY		TELEPHONE:	(619) 579-5587
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	14	CENSUS: 11	DATE:	04/29/2019
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Lupita Teon, Licensee		TIME COMPLETED:	01:25 PM

ALLEGATION(S):

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Lack of supervision resulting in daycare child sustaining an injury while in care.
Licensee uses a baby walker on facility premises.
Licensee failed to meet daycare child's care needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michelle Hood arrived to conduct an unannounced inspection to deliver complaint findings for the above listed allegations. LPA met with Licensee. There were 11 children being supervised by 3 staff.

It was alleged lack of supervision resulting in daycare sustaining an injury while in care, licensee uses a baby walker on facility premises and licensee failed to meet daycare child’s care needs. Interviews were conducted with staff members, daycare children and daycare parents. Staff members and daycare parents stated facility does not use baby walkers. Staff members and daycare parents stated staff members meet daycare child’s care needs. On 02/08/2019, LPA observed children playing, dancing, singing with licensee and a staff member. LPA observed a 3-1 push walker activity toy in the backyard.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 20-CC-20190201104639

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: TEON, LUPITA FAMILY CHILD CARE	FACILITY NUMBER: 376618942
	VISIT DATE: 04/29/2019

NARRATIVE

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Due to conflicting statements obtained and observations made during the course of the investigation, the above allegations are found to be UNSUBSTANTIATED meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Licensee was provided appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit. LPA observed Licensee post the LIC 9213. No deficiencies cited. An exit interview was conducted with Licensee.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 20-CC-20190201104639

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: TEON, LUPITA FAMILY CHILD CARE	FACILITY NUMBER: 376618942
	VISIT DATE: 04/29/2019

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	A type “B” deficiency was cited during today’s inspection. Licensee was provided appeal rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit. LPA observed Licensee post LIC 9213-Notice of Site Visit. An exit interview was conducted with Licensee.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2019

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 20-CC-20190201104639

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: TEON, LUPITA FAMILY CHILD CARE	FACILITY NUMBER: 376618942
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/29/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/29/2019 Section Cited CCR 102423(a)(4)	1 2 3 4 5 6 7	Personal Rights (a) Each child receiving services from a family child care home shall have certain rights...(4)To be free from corporal or unusual…other actions of a punitive nature, including, but not limited to:	1 2 3 4 5 6 7	Licensee stated she will create a written plan which will include step by step procedures for staff when children start to fall asleep during feeding or play time.
	8 9 10 11 12 13 14	interference with eating, sleeping;…This requirement is not met as evidenced by: Based on LPA’s review of video footage, on 09/25/18, licensee attempted to spoon feed Child #1 (C1) while the child was falling asleep in a highchair. Licensee interfere with C1 sleeping, as C1 wakes up when the spoon of baby food touches C1’s lips and immediately nods off again. This poses a potential risk to children 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: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2019

LIC9099 (FAS) - (06/04)

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