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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376619037
Report Date: 09/01/2021
Date Signed: 09/01/2021 04:55:20 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
07/12/2021 and conducted by Evaluator Dana Stevens
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20210712103132
FACILITY NAME:MARTINEZ, SUSANA FAMILY CHILD CAREFACILITY NUMBER:
376619037
ADMINISTRATOR:SUSANA MARTINEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 347-0402
CITY:BONITASTATE: CAZIP CODE:
91902
CAPACITY:14CENSUS: 7DATE:
09/01/2021
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Susana MartinezTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
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9
Licensee made disrespectful remarks about daycare children.
INVESTIGATION FINDINGS:
1
2
3
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5
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7
8
9
10
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12
13
On 09/01/2021 at 4:15 PM Licensing Program Analyst (LPA) Dana Stevens conducted an unannounced complaint inspection. LPA met with Susana Martinez to deliver complaint findings on the above allegation.

The department received information that Licensee made disrespectful remarks about daycare children, however the information obtained in confidential Interviews with staff, parents and daycare children did not corroborate this allegation. Due to conflicting Information obtained during investigation this allegation is deemed Unsubstantiated.

An exit interview was conducted with the licensee. The licensee was provided a copy of this report and appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Dana StevensTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
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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