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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376626534
Report Date: 11/28/2023
Date Signed: 11/28/2023 12:44:23 PM

Substantiated


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
11/20/2023 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20231120142843
FACILITY NAME:PACKER, GREDNA FAMILY CHILD CAREFACILITY NUMBER:
376626534
ADMINISTRATOR:GREDNA PACKERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 229-2035
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY:14CENSUS: 10DATE:
11/28/2023
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Gredna Packer TIME COMPLETED:
12:09 PM
ALLEGATION(S):
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1. Licensee does not document required infant sleep checks
2. Licensee accepts children who do not meet immunization requirements.
3. Licensee does not maintain children’s immunization records as required.
INVESTIGATION FINDINGS:
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On 11/28/23 at 10:31 AM, Licensing Program Analysts (LPAs) Annette Sutherland and Renita Rodgriguez, made an unannounced visit to conduct a 10-day complaint on the above referenced allegations. Upon arrival, LPAs met with Licensee Gredna Packer also present was helper Mirna Morales and adult daughter Britney Packer. 2 minor student aides were also present at facility. LPA toured the facility. Census was 10 children.
Based on the information obtained during licensee and staff interviews, observations, and documents reviewed it is determined that even though, Licensee is checking on sleeping infants the facility staff is not documenting the checks this is now a repeat violation as licensee was cited at annual visit conducted in May 2023. Licensee has infants in care that do not meet immunization requirements. LPAs reviewed files and were missing immunization records. The preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated and a Type B citation under California Code of Regulations, (Title 22, Division 12 & Chapter 1) is being cited on the attached LIC 9099D along with repeat violation civil penalty. Exit interview conducted and report was reviewed with the licensee Gredna Packer.
NOTICE OF SITE VISIT WAS GIVEN AND WILL REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette SutherlandTELEPHONE: (619) 629-8751
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
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 51-CC-20231120142843
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: PACKER, GREDNA FAMILY CHILD CARE
FACILITY NUMBER: 376626534
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/29/2023
Section Cited
CCR
102425(j)(2)
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Infant safe sleep 102425(j)(2) The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: This requirement is not met as evidenced by:
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LPA provided safe sleep handouts and regulation and reviewed them. LPA also offered TSP and licensee agreed. Mrs. Packer stated that she will start using the form immediately. Sample sleep log (5 days’ worth) shall be submitted to the department no later than 12/08/2023 via email to: Annette.Sutherland@dss.ca.gov
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This requirement is not met as evidenced by:
Based on interview and record review, the licensee did not comply with the section cited above. Mrs. Packer failed to document the 15-minute check on sleeping infants again. This is a repeat violation.This poses a potential health, safety, or personal rights risk to persons in care.
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Type B
12/01/2023
Section Cited
CCR
102418(g)
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Immunizations 102418(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.
This requirement is not met as evidenced by:
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Licensee will update all immunization records as long as the child is enrolled and submit proof to LPA Annette Sutherland at Annette.Sutherland@dss.ca.gov by 12/1/23.
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Based on interview and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety, or personal rights risk to persons in care.
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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: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette SutherlandTELEPHONE: (619) 629-8751
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20231120142843
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: PACKER, GREDNA FAMILY CHILD CARE
FACILITY NUMBER: 376626534
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/01/2023
Section Cited
CCR
102418(a)
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Immunizations 102418 (a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000. This requirement is not met as evidenced by:
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Licensee will submit proof of child 1 immunizations records to LPA Annette Sutherland @ Annette.Sutherland@dss.ca.gov by 12/01/23.
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Based on interview and record review, the licensee did not comply with the section cited above. Mrs. Packer failed to get immunization records for infants in care. This poses a potential health, safety, or personal rights risk to persons in care.
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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: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette SutherlandTELEPHONE: (619) 629-8751
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3