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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376621913
Report Date: 07/13/2021
Date Signed: 07/13/2021 02:22:09 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
06/02/2021 and conducted by Evaluator Nancy Diaz
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20210602081918
FACILITY NAME:BALETO, MARICY FAMILY CHILD CAREFACILITY NUMBER:
376621913
ADMINISTRATOR:MARICY BALETOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 384-2302
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:14CENSUS: DATE:
07/13/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:TIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Licensee pulled child's hair.
- Licensee hit child with an object.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/13/21 @ 2PM, LPA N. Diaz conducted an unannounced inspection.
The purpose of today's inspection was to deliver the findings to the above allegations. A brief tour of the facility was conducted. Observed present were 10 children who were observed napping. Mrs. Baleto, her husband Mark Baleto and her 14-year old son were providing care.
During the investigation, LPA interviewed the licensee, children in care, alleged victim and parents of children in care. There was no evidence obtained to corroborate or support that the licensee pulled child's hair or hit child with an object.
This agency has investigated the complaint alleging that licensee pulled child's hair and hit child with an object. We have determined that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.
An exit interview was conducted. Licensee was provided a copy of complaint investigation report, Appeal Rights, and Notice of Site visit. Notice of Site Visit is to be posted for 30 days.
NO DEFICIENCY CITED TODAY.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021
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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