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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376626543
Report Date: 02/03/2020
Date Signed: 02/04/2020 05:39:34 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
11/19/2019 and conducted by Evaluator Vicky Williamson
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20191119104908
FACILITY NAME:PORTUGAL, MARIVEL & PARRA, OCTAVIO FCCHFACILITY NUMBER:
376626543
ADMINISTRATOR:M. PORTUGAL & O. PARRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 642-4743
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:14CENSUS: 2DATE:
02/03/2020
UNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Marivel Portugal and Octavio ParraTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Licensee failed to pick children up from school as agreed.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Vicky Williamson and Adrian Castellon conducted an unannounced complaint inspection for the purpose of delivering complaint findings in regard to the above allegation. LPA Adrian Castellon aided as a Spanish translator. LPA met with Licensees, Marivel Portugal and Octavio Parra. There were 2 daycare children present, 1 of whom was under 24 months. Also present during time of inspection was licensee's parents and adult sister. It was alleged that licensee failed to pick children up from school as agreed. Interviews were conducted with licensees, a helper, several daycare children and daycare parents. Daycare children in question were not available to be interviewed. Licensee, Octavio Portugal admitted that on 10/1/19, he agreed with the authorized representative for child #1 to pick up the child from school at 2:00pm. Licensee acknowledge that he was 30 minutes late picking up the child from school and was contacted by the child’s authorized representative. Per information received the licensee was 55 minutes late picking up daycare children in question from school. Daycare children interviewed stated that sometimes Licensee, Octavio Parra is late picking them up from school. Daycare parents interviewed expressed no concerns regarding the allegation.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
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-20191119104908
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: PORTUGAL, MARIVEL & PARRA, OCTAVIO FCCH
FACILITY NUMBER: 376626543
VISIT DATE: 02/03/2020
NARRATIVE
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Based on the Licensee, Octavio Parra’s own admission, interviews conducted with licensee, a helper, several day care children and daycare parents the preponderance of evidence standard has been met that the licensee failed to pick up the child in question per school schedule and verbally agreement on 10/1/19, therefore the allegation is found to be SUBSTANTIATED

See LIC 9099D for cited deficiencies. Licensees were provided appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. Notice of Site Visit (LIC 9213) was provided to be posted at the facility for 30 days. LPA observed form LIC 9213 posted.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 20-CC-20191119104908
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: PORTUGAL, MARIVEL & PARRA, OCTAVIO FCCH
FACILITY NUMBER: 376626543
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/07/2020
Section Cited
CCR
102423(a)(2)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

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Licensees' will review Personal Rights regulation 101223 and provided LPA with a signed copy of the regulation to the Agency, no later than 2/7/20.
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Requirement was not met as evidenced by: Licensee, Octavio Portugal admitted that on 10/1/19, he agreed to pick up child #1 from school at 2:00pm. Licensee acknowledge that he was 30 minutes late picking up the child from school. This poses a potential health and safety risk of children 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: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
11/19/2019 and conducted by Evaluator Vicky Williamson
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20191119104908

FACILITY NAME:PORTUGAL, MARIVEL & PARRA, OCTAVIO FCCHFACILITY NUMBER:
376626543
ADMINISTRATOR:M. PORTUGAL & O. PARRAFACILITY TYPE:
810
ADDRESS:756 SACRAMENTO AVENUETELEPHONE:
(619) 642-4743
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:14CENSUS: 2DATE:
02/03/2020
UNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Marivel Portugal and Octavio ParraTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Personal Rights -Child sustained unexplained injury while in care.
-Licensee yells at children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Vicky Williamson and Adrian Castellon conducted an unannounced complaint inspection for the purpose of delivering complaint findings in regard to the above allegations. LPA Adrian Castellon aided as a Spanish translator. LPA met with Licensees, Marivel Portugal and Octavio Parra. There were 2 daycare children present, 1 of whom was under 24 months. Also present during time of inspection was licensee's parents and adult sister. It was alleged that child sustained unexplained injury while in care and licensee yells at children in care. Interviews were conducted with Licensees, helper, a witness, several day care children and day care parents. Information received indicated that a child #1 sustained a bruise to the side of the head. Per information received licensees and helper were unable to provide information on how child #1 sustained the injury and that Licensee, Marivel Portugal stated, “accidents happen.” Licensees denied the allegation and stated that children have obtained minor injuries at the facility, but that their parents are contacted immediately.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 20-CC-20191119104908
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: PORTUGAL, MARIVEL & PARRA, OCTAVIO FCCH
FACILITY NUMBER: 376626543
VISIT DATE: 02/03/2020
NARRATIVE
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Information received indicated that “the lady” yells at daycare children and that children have reported to their parents that Licensee, Marivel Parra yells at other children at the facility. Licensees and helper denied yelling at daycare children, however Licensee, Marivel Portugal states that she does have a loud voice. Interviews were conducted with 7 daycare children who stated that licensees do not yell at them. One daycare child disclosed that he has observed Licensee, Marivel Parra yelling at daycare children. Daycare parents interviewed expressed no concerns regarding the allegations. A witness was interviewed and stated that child #2 told her that “the lady” yells at the daycare children at the facility, however states that she did not witness anyone yelling at the daycare children. Based on interviews conducted and information received, there is not enough evidence to support the allegations that licensee or “the lady” yells at daycare children or that child #1 sustained an injury while in care. Due to conflicting statements obtained during the course of the investigation, the above allegations are found to be unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 5