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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376626429
Report Date: 06/29/2023
Date Signed: 06/29/2023 02:47:45 PM

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
06/28/2023 and conducted by Evaluator Edgar Campana
COMPLAINT CONTROL NUMBER: 20-CC-20230628125551
FACILITY NAME:GONZALEZ, JESSICA FAMILY CHILD CAREFACILITY NUMBER:
376626429
ADMINISTRATOR:JESSICA GONZALEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 213-7544
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:14CENSUS: 10DATE:
06/29/2023
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Jessica GonzalezTIME COMPLETED:
02:55 PM
ALLEGATION(S):
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Licensee does not keep the home clean and sanitary
INVESTIGATION FINDINGS:
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On 06/29/23 at 11:55 AM, LPA Edgar Campana conducted an unannounced complaint visit to investigate the above allegation. There were ten (10) daycare children present as well as one cleared and associated adult. During the tour of the facility, LPA observed that there were opened bottles of liquor, stored in an open box, on top of a table in a room not being used by daycare children at the time. During interview with licensee, licensee stated that the bottles of liquor had been left out by accident, and that the room where bottles were located is used solely as a sleeping area for toddlers. LPA interviewed daycare children, and although none stated having seen open bottles of liquor or other unsanitary/unsafe conditions in other areas of facility, the presence of open bottles of liquor in an accessible room poses a potential risk to the health and safety of children in care.

Based on LPA’s observations and 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, section 102417(g)) are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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 3
Control Number 20-CC-20230628125551
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: GONZALEZ, JESSICA FAMILY CHILD CARE
FACILITY NUMBER: 376626429
VISIT DATE: 06/29/2023
NARRATIVE
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A copy of this report, appeal rights (LIC 9058 - 03/22), and LIC 9213 – Notice of Site Visit was provided to the licensee. Licensee was advised to post the LIC 9213 for 30 days. An exit interview was conducted with licensee, Jessica Gonzalez.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 20-CC-20230628125551
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: GONZALEZ, JESSICA FAMILY CHILD CARE
FACILITY NUMBER: 376626429
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2023
Section Cited
CCR
102417(g)
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Operation of a Family Child Care Home - “The home shall be free from conditions which might endanger a child..."

This requirement was not met as evidenced by:
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Licensee removed and properly stored the box containing open liquor bottles. LPA provided licensee with the following video link:
https://ccld.childcarevideos.org/family-child-care-providers/locks-and-inaccessibility-regulations-in-child-care/
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Based on LPA observations and licensee's admission, a box conatining open liquor bottles was left in an accessible room, which poses a potential risk to the health and safety of children in care.
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Licensee stated that she will watch the video and will submit a written statement to the Department by 07/07/2023, detailing what steps she will take to ensure that this situation does not occur again in the future.
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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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3