376623856-9-20-2021-20-CC-TVUU-C86RAA-20211026125045

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376623856
Report Date: 09/20/2021
Date Signed: 09/20/2021 09:33:33 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
08/13/2021 and conducted by Evaluator JoAnn R Legaspi

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20210813102133

FACILITY NAME:	HAYDER, SAHRA FAMILY CHILD CARE		FACILITY NUMBER:	376623856
ADMINISTRATOR:	HAYDER, SAHRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 565-4745
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92105
CAPACITY:	14	CENSUS: 1	DATE:	09/20/2021
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Sahra Hayder		TIME COMPLETED:	08:55 AM

ALLEGATION(S):

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Licensee did not administer day care child's prescribed medication

INVESTIGATION FINDINGS:

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On September 20, 2021 at 8:15 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a complaint inspection to conclude the complaint investigation regarding the above allegation. LPA advised Licensee Sahra Hayder of the meeting’s purpose and was granted facility entry.

Present in the daycare was the Licensee's toddler child (24 months to 5 years), two (2) helpers and the Licensee.

It was alleged that the Licensee did not administer a child's prescribed medication. Licensing, facility and outside source records were reviewed. Collateral witnesses, the Licensee, staff, daycare children and daycare parents were interviewed. It was alleged that the Licensee was given a child’s prescribed saline nasal spray and directed to administer it to the child. The Licensee and staff denied that this prescribed saline nasal spray was ever provided to the Licensee.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2021

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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Control Number 20-CC-20210813102133

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: HAYDER, SAHRA FAMILY CHILD CARE	FACILITY NUMBER: 376623856
	VISIT DATE: 09/20/2021

NARRATIVE

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Due to conflicting information received during the course of the investigation, the allegation that the Licensee did not administer a daycare child's prescribed medication has been 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 cited.

A Notice of Site Visit (LIC 9213) is to be posted for thirty (30) days. LPA provided this document to the Licensee, who stated this document will be publicly posted.

An exit interview was conducted with the Licensee. Licensee/Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to staff and their signature on this form confirms receipt of these rights.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2021

LIC9099 (FAS) - (06/04)

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