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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376622217
Report Date: 06/26/2019
Date Signed: 06/26/2019 04:58:21 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
04/08/2019 and conducted by Evaluator Selina Siao
COMPLAINT CONTROL NUMBER: 20-CC-20190408175946
FACILITY NAME:HUIZAR, LETICIA FAMILY CHILD CAREFACILITY NUMBER:
376622217
ADMINISTRATOR:LETICIA HUIZARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 266-2524
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:14CENSUS: 7DATE:
06/26/2019
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Leticia HuizarTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Uncleared adult living in the home
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Selina Siao and Elizabeth Rivera conducted unannounced inspection to deliver the above complaint finding. The initial inspection was conducted on 04/11/2019. Upon arrival, there were 7 children including 2 school age children at the facility while licensee's adult grand daughter were taking 3 of her cousins to their house.
Throughout the course of investigation, records were reviewed, and interviews were conducted with licensee, helper, several daycare parents and several day care children. Although Licensee denied that her son in law Terrance Johnson lived at the facility but the 30-day notice to terminate tenancy dated 03/18/2019 obtained from licensee listed him as a tenant. Based on information obtained and interviews conducted, and record review the preponderance of evidence standard has been met, therefore the above allegation regarding uncleared adult living in the home is found to be SUBSTANTIATED, California Code of Regulations, 102370(d) is being cited on the attached LIC 9099D. Civil penalty of $500 is being assessed today. This report was translated to licensee by LPA Elizabeth Rivera in Spanish.
“Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. “
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
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 4
Control Number 20-CC-20190408175946
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: HUIZAR, LETICIA FAMILY CHILD CARE
FACILITY NUMBER: 376622217
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/27/2019
Section Cited
CCR
102370(d)(1)
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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department.
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Licensee stated that she will not allow any family members to stay at her house without the required background clearances and without having a contract with them.
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This requirement is not met as licensee's son in law Terrance Johnson lived at the home or had prominate presence without the required background clearances. This poses an immediate health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
04/08/2019 and conducted by Evaluator Selina Siao
COMPLAINT CONTROL NUMBER: 20-CC-20190408175946

FACILITY NAME:HUIZAR, LETICIA FAMILY CHILD CAREFACILITY NUMBER:
376622217
ADMINISTRATOR:LETICIA HUIZARFACILITY TYPE:
810
ADDRESS:3910 HILLTOP DRTELEPHONE:
(619) 266-2524
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:14CENSUS: 7DATE:
06/26/2019
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Leticia HuizarTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Licensee failed to prevent daycare children from physical altercation.
Licensee yells at daycare children.
Licensee leaves daycare children with uncleared adult.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Selina Siao and Elizabeth Rivera conducted unannounced inspection to deliver the above complaint finding. The initial inspection was conducted on 04/11/2019. Upon arrival, LPAs met with licensee who is at the facility with 7 children along with her adult grand daughter.
Throughout the course of investigation, records were reviewed, and interviews were conducted with licensee, facility's helper, several daycare parents and several day care children.
Due to conflicting information obtained during the investigation, the allegation is found to be unsubstantiated which means that although the allegations regarding licensee failed to prevent daycare children from physical altercation, licensee yells at daycare children and licensee leaves daycare children with uncleared adult may have happened or may be valid, there is not a preponderance of the evidence to prove the alleged violations occurred. No citation issue. This report was translated to licensee by LPA Elizabeth Rivera in Spanish.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4