376620512-9-7-2021-20-CC-CGRY-C8H3FU-20211105181319

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376620512
Report Date: 09/07/2021
Date Signed: 09/07/2021 02:06:11 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
07/29/2021 and conducted by Evaluator Michelle Hood

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20210729165014

FACILITY NAME:	FLORES, MARIA IRMA FAMILY CHILD CARE		FACILITY NUMBER:	376620512
ADMINISTRATOR:	MARIA IRMA FLORES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 563-4511
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92104
CAPACITY:	14	CENSUS: 8	DATE:	09/07/2021
		UNANNOUNCED	TIME BEGAN:	12:55 PM
MET WITH:	Maria Flores, Licensee		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Daycare is in disrepair.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 09/07/2021 at 12:55 p.m., Licensing Program Analysts (LPAs) Michelle Hood and Cindy Meier arrived to conduct an unannounced inspection to deliver complaint findings. Upon arrival, LPAs met with licensee to discuss final findings on allegation. Daycare is in disrepair.

During the course of the investigation, interviews were conducted with the daycare parents, witness, seven (7) daycare children, (1) staff and licensee. LPAs, licensee, daycare parents, daycare children, witness and staff stated they have not smelled sewage or gas fumes in the facility backyard sinks. Licensee denies allegation.

Due to conflicting statements obtained during the course of the investigation, the above allegation is 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 (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit. LPA observed that LIC 9213 was posted. No deficiencies cited. An exit interview was conducted with the licensee.

Licensees adult son translated licensing report in Spanish.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

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