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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376622185
Report Date: 08/12/2022
Date Signed: 08/16/2022 11:19:50 PM

Unsubstantiated


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
06/07/2022 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20220607083427
FACILITY NAME:PASTENES, ERICA FAMILY CHILD CAREFACILITY NUMBER:
376622185
ADMINISTRATOR:ERICA PASTENESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 964-6578
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:14CENSUS: 6DATE:
08/12/2022
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Erica PastenesTIME COMPLETED:
04:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is operating outside of license terms and conditions

License is not present in the home the appropriate amount of time
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/12/22 at 2:45pm, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the above allegation. LPA Castellon met with licensee Erica Pastenes and discussed the purpose of the inspection. It was alleged that the licensee is operating outside of license terms and conditions and that the licensee is not present in the home the appropriate amount of time. LPA Castellon conducted children's interviews on this date. LPA conducted a parent interview. During the course of the investigation, two unannounced inspections were conducted. Interviews were conducted with day-care parents, facility staff, and children in care. Documents were obtained pertaining to the investigation. LPA Castellon could not speak with the reporting party. Due to conflicting statements obtained during the course of the investigation, the above allegation is deemed to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged allegation occurred. A copy of today's report, Notice of Site Visit and appeals rights given to the licensee. An exit interview was conducted with licensee and she stated that she understood. Notice of Site Visit should be posted for 30 days from today's date.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022
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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