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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376626054
Report Date: 03/12/2021
Date Signed: 03/16/2021 01:56:53 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
01/08/2021 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20210108164206
FACILITY NAME:LIVINGSTON, AMELIA FAMILY CHILD CAREFACILITY NUMBER:
376626054
ADMINISTRATOR:AMELIA LIVINGSTONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 399-8167
CITY:SAN DIEGOSTATE: CAZIP CODE:
92113
CAPACITY:14CENSUS: 10DATE:
03/12/2021
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Amelia LivingstonTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Criminal Record Clearance - uncleared adult in the home.
INVESTIGATION FINDINGS:
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On 03/12/21 at 11:00am, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced tele-inspection to deliver complaint findings for the above allegation. Due to COVID-19 state of emergency, this inspection was conducted via teleconference. There were 10 children present. LPA Castellon interviewed a daycare child on this date. LPA met with licensee Amelia Livingston. It was alleged that an uncleared adult lives in the home.

During the course of the investigation, LPA Castellon conducted unannounced inspections. Interviews were conducted with the reporting party, licensee, a facility staff member, 4 day-care parents, 3 facility neighbors and 3 day-care children. Due to conflicting statements obtained during the course of the investigation, the above allegation is found to be UNSUBSTANTIATED meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Continued on LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2021
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 2
Control Number 20-CC-20210108164206
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: LIVINGSTON, AMELIA FAMILY CHILD CARE
FACILITY NUMBER: 376626054
VISIT DATE: 03/12/2021
NARRATIVE
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A copy of today's report, Notice of Site Visit, and appeal rights were emailed to the licensee. An exit interview was conducted with the licensee and licensee stated that she understood. Licensees were advised acknowledgement of receipt of the report and appeal rights is to be received within twenty-four hours. COVID-19 State of emergency read receipt notification will be used in place of licensee’s signature. LPA Castellon informed licensee Notice of Site Visit shall be posted for 30 days from today’s date. 
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2