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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376619189
Report Date: 01/18/2022
Date Signed: 01/18/2022 03:52:12 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
11/08/2021 and conducted by Evaluator Gloria Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20211108084322
FACILITY NAME:SEATON-MSEMAJI, DORA FAMILY CHILD CAREFACILITY NUMBER:
376619189
ADMINISTRATOR:DORA SEATON-MSEMAJIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 466-5617
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:14CENSUS: 10DATE:
01/18/2022
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Dora Seaton-MsemajiTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Child sustained unexplained injury while in care.
INVESTIGATION FINDINGS:
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On 1/18/22 at 2:45 PM, Licensing Program Analysts (LPA), Gloria Gonzalez conducted a complaint inspection to deliver findings and met with Licensee, Dora Seaton-Msemaji regarding the above allegation. LPA advised Licensee of the purpose of the inspection and conducted a tour of the facility. There were 10 daycare children and 1 one assistant; Veronica Reynoso, present during the inspection.

During the course of the investigation, interviews were conducted with the licensee, the assistant, several daycare children, daycare parents, and other agencies. Licensee denied the above allegation, stating that the injury did not happen at the daycare. There was no evidence to determine if the bump was accidental or intentional. In addition, there was no evidence or witnesses to collaborate to support that the child sustained the bump at the daycare or in the home. Thus, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore the above allegation is found to be unsubstantiated.

No deficiencies cited.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
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-20211108084322
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: SEATON-MSEMAJI, DORA FAMILY CHILD CARE
FACILITY NUMBER: 376619189
VISIT DATE: 01/18/2022
NARRATIVE
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A copy of this report and appeal rights (LIC 9058) was provided to the licensee, Dora Seaton-Msemaji
 
LPA observed Licensee post LIC9213 – Notice of Site Visit and Licensee was advised this notice is to be posted for 30 days from today’s date. 

This report was interpreted to licensee by LPA, Gloria Gonzalez.
 
An exit interview was conducted with the licensee, Dora Seaton-Msemaji.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2