376625408-12-8-2022-20-CC-CGRY-CN7265-20230117160631

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376625408
Report Date: 12/05/2022
Date Signed: 12/08/2022 08:26:46 AM

Substantiated

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
10/19/2022 and conducted by Evaluator Adrian Castellon

COMPLAINT CONTROL NUMBER: 20-CC-20221019095644

FACILITY NAME:	RINCON, ADELAIDA FAMILY CHILD CARE		FACILITY NUMBER:	376625408
ADMINISTRATOR:	ADELAIDA RINCON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 475-6506
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92139
CAPACITY:	14	CENSUS: 3	DATE:	12/05/2022
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Adela Rincon		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Provider did not provide adequate supervision resulting in day care child leaving the facility.

INVESTIGATION FINDINGS:

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On 12/5/22 at 2:00pm, Licensing Program Analysts (LPA) Adrian Castellon and Julissa Valle, made an unannounced complaint inspection today and met with licensee, Adela Rincon to deliver complaint findings for the above listed allegation. Also present was licensee's adult daughter Priscilla Rincon. This agency has investigated the allegation listed above. During the investigation, LPA interviewed the licensee, facility staff, children in care and day-care parents. A National City Police Department report was also obtained.

It was alleged that a lack of supervision resulted in day-care child leaving the facility. Based on Licensee’s own admission, National City Police Department report and other interviews conducted, it was determined that on 10/17/2022, a day care child (C1) left the facility unsupervised. C1 was found by a passerby approximately two houses from the facility at an intersection (E. 18th Street and Rachel Ave.). Licensee stated that while she was changing another day-care child’s diaper, C1 opened the side sliding glass door and metal door and proceeded to leave the home undetected by sliding under a gap at the bottom of the backyard fence shared with a neighbor. According to the Licensee, she became aware C1 was missing and within three minutes C1 was recovered by Licensee unharmed.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022

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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Control Number 20-CC-20221019095644

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: 12/05/2022

NARRATIVE

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Based on interviews which were conducted, 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), is being cited on the attached LIC 9099D. An immediate civil penalty of five hundred dollars ($500), is being assessed for the absence of supervision on the attached LIC-421IM.

LPA Castellon informed licensee, Adela Rincon, that this report documents one (1) Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Castellon informed licensee, Adela Rincon, to provide a copy of this licensing report that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with licensee, Adela Rincon. A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022

LIC9099 (FAS) - (06/04)

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Control Number 20-CC-20221019095644

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: 12/05/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/12/2022 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	CCR 102417(a) Operation of a Family Child Care Home. The licensee shall be present in the home and shall ensure that children in care are supervised at all times… This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee was given a hard copy of CCR 102417(a). Licensee stated she will watch the following CCLD training video titled: “Supervising Children in Family Child Care” at ccld.childcarevideos.org/family-child-care-providers/supervising-children-in-family-child-care. Licensee stated she will provide the Department with a written summary of her
	8 9 10 11 12 13 14	Based on licensee’s admission, police report and interviews conducted, the licensee did not ensure day-care children were supervised at all times, as a day care child left the facility unsupervised, which poses an immediate Health and Safety risk to children in care.	8 9 10 11 12 13 14	observations of the above training video and a written plan describing how she will ensure that day care children are supervised at all times. The licensee was advised a Non-compliance conference will scheduled at the San Diego Child Care Regional Office once LPA Castellon speaks with LPM Gray.
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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: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022

LIC9099 (FAS) - (06/04)

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