<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376625408
Report Date: 05/08/2019
Date Signed: 05/08/2019 04:21:28 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
04/30/2019 and conducted by Evaluator Diana Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20190430141320
FACILITY NAME:RINCON, ADELAIDA FAMILY CHILD CAREFACILITY NUMBER:
376625408
ADMINISTRATOR:ADELAIDA RINCONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 475-6506
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:14CENSUS: 10DATE:
05/08/2019
UNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Adelaida Rincon, ProviderTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Children are required to nap in high chairs.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Diana Sanchez, made an unannounced complaint inspection to the facility today. LPA met with provider Adelaida Rincon and made her aware of the reason for today’s inspection. Current census 10.

This agency has investigated the complaint alleging that children naps on high chairs. During the inspection, LPA observed two children napping in the high chair. Provider stated that one of the child would not nap anywhere else and the other child was eating when he fell asleep. LPA advised provider that children are not allowed to nap in the high chairs.

Based on LPA's observation and provider's statement, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 3 are being cited.

An exit interview was conducted with provider Adelaida Rincon, a plan of correction was discussed and appeal rights were explained. LPA provided a copy of this report to Adelaida.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
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 5
Control Number 20-CC-20190430141320
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: RINCON, ADELAIDA FAMILY CHILD CARE
FACILITY NUMBER: 376625408
VISIT DATE: 05/08/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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.

LPA observed provider placing the Notice to Cite Visit on the wall visible to parents during today’s inspection

NOTICE OF SITE VISIT MUST BE POSED FOR 30 DAYS
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 20-CC-20190430141320
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: RINCON, ADELAIDA FAMILY CHILD CARE
FACILITY NUMBER: 376625408
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/09/2019
Section Cited
CCR
102423(a)(2)
1
2
3
4
5
6
7
102423(a)(2) Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishing and equipment. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Provider Adelaida immediately removed both children from the chairs and stated that she will ensure not to nap children on the high chair.
Deficiency was corrected during inspection.
8
9
10
11
12
13
14
LPA observed a two children napping on high chairs.
This poses an immediate risk to the health and safety of the children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 5