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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376619795
Report Date: 11/12/2020
Date Signed: 11/21/2020 11:05:41 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
08/10/2020 and conducted by Evaluator Michael Morales-DeSilvestore
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20200810123719
FACILITY NAME:DELA CRUZ, EDEN FAMILY CHILD CAREFACILITY NUMBER:
376619795
ADMINISTRATOR:EDEN DELA CRUZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 566-9342
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:14CENSUS: 6DATE:
11/12/2020
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Eden Dela CruzTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child has unexplained injuries
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/12/2020, LPA Michael Morales DeSilvestore made an unannounced complaint televisit to deliver findings on the above-referenced allegation. Staff and parents were interviewed and LPA conducted facility observation. Based on the information obtained, the above-referenced allegation is determined to be Unsubstantiated. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies are cited.
Appeal Rights (1/16) were provided via-email. A copy of this report was provided via email and confirmed receipt of the report will serve as the Licensees signature.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2020
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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