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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376624048
Report Date: 12/08/2023
Date Signed: 12/08/2023 12:25:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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
10/06/2023 and conducted by Evaluator Saraliz Velando
COMPLAINT CONTROL NUMBER: 51-CC-20231006143342
FACILITY NAME:LUO, CICI FAMILY CHILD CAREFACILITY NUMBER:
376624048
ADMINISTRATOR:CICI LUOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 886-9322
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:14CENSUS: 7DATE:
12/08/2023
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Licensee, Cici LuoTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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9
1. Staff yelling at children.
2. Adults present at facility without criminal history clearance.
3. Children are afraid of dog on premises.
INVESTIGATION FINDINGS:
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On 12/8/23, Licensing Program Analyst (LPA) Saraliz Velando conducted an unannounced complaint visit for the purpose of delivering findings for complaint received on 10/6/23 regarding the above allegations. LPA met with the licensee, Cici Luo and toured the home. There was one helper and 7 children in care.
LPA Velando conducted interviews with potential witnesses, collected pertinent evidence, and reviewed facility files.
Based on the information LPA Velando obtained, it was not determined that the staff is yelling at children, adults present at the facility are without criminal history clearance, or children are afraid of the dog on the premises. The preponderance of the evidence has not been met and therefore, the above allegations are found to be UNSUBSTANTIATED. No deficiencies are cited. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit interview was conducted with licensee, Cici Luo. Appeal Rights and licensing report were reviewed with the licensee. Signature at the bottom of this report confirms receipt. A notice of site visit was provided and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023
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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