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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376626769
Report Date: 10/17/2022
Date Signed: 10/17/2022 12:22:46 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
09/15/2022 and conducted by Evaluator Edgar Campana
COMPLAINT CONTROL NUMBER: 20-CC-20220915083517
FACILITY NAME:GODINEZ, SAYRA FAMILY CHILD CAREFACILITY NUMBER:
376626769
ADMINISTRATOR:SAYRA GODINEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 864-3880
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:14CENSUS: 0DATE:
10/17/2022
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Sayra GodinezTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee used highchair as a restraint device for child in care
INVESTIGATION FINDINGS:
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On 10/17/2022 Licensing Program Analyst (LPA) Edgar Campana, met with Licensee, Sayra Godinez to deliver findings on the above allegation. Meeting was held at the San Diego Regional Child Care office as Licensee is no longer operating at licensed facility address. No children were present.

During the course of the investigation, interviews were conducted with licensee, one staff member, and two (2) daycare children. Licensee stated that she had, on at least one occassion, placed a daycare child in a highchair due to child's aggressive behavior. During interview of daycare children, both children stated that they had observed a daycare child being placed in a highchair due to his behavior. During interview with staff member, no information regarding a highchair being used as a restraining device was obtained.
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: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
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-20220915083517
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: GODINEZ, SAYRA FAMILY CHILD CARE
FACILITY NUMBER: 376626769
VISIT DATE: 10/17/2022
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.

Licensee surrendered her Family Child Care Home license effective 09/23/2022 and is no longer caring for children at this facility address.

Exit interview conducted and report was reviewed with licensee, Sayra Godinez. A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 20-CC-20220915083517
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: GODINEZ, SAYRA FAMILY CHILD CARE
FACILITY NUMBER: 376626769
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/17/2022
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights: (a) 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: (4) To be free from corporal or unusual punishment…

This requirement was not met as evidenced by:
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Licensee surrendered license effective 09/23/2022 - no plan of corrections issued at this time.
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Based on LPA interviews, Licensee did not comply with the above regualtion, as a daycare child was restrained in a high chair, which poses immediate health, and safety 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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 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
09/15/2022 and conducted by Evaluator Edgar Campana
COMPLAINT CONTROL NUMBER: 20-CC-20220915083517

FACILITY NAME:GODINEZ, SAYRA FAMILY CHILD CAREFACILITY NUMBER:
376626769
ADMINISTRATOR:SAYRA GODINEZFACILITY TYPE:
810
ADDRESS:856 SOUTHSHORE DRIVETELEPHONE:
(619) 864-3880
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:14CENSUS: 0DATE:
10/17/2022
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Sayra GodinezTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee forced day care children to stay outside without supervision
INVESTIGATION FINDINGS:
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On 10/17/2022 Licensing Program Analyst (LPA) Edgar Campana, met with Licensee, Sayra Godinez to deliver findings on the above allegation. Meeting was held at the San Diego Regional Child Care office as Licensee is no longer operating at licensed facility address. No children were present.

During the course of the investigation, interviews were conducted with licensee, one staff member, two (2) daycare children, and five (5) daycare parents. During interview with Licensee and staff member, facility discipline policy was discussed, and no evidence regarding the above allegation was obtained. During interview of daycare children, evidence regarding children being left alone outside without supervision was inconclusive. During interview with daycare parents, no parents indicated any concerns with facility supervision of daycare children.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 20-CC-20220915083517
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: GODINEZ, SAYRA FAMILY CHILD CARE
FACILITY NUMBER: 376626769
VISIT DATE: 10/17/2022
NARRATIVE
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Based on interviews conducted, there is a lack of evidence available to be able to draw definitive conclusions. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore it is determined that the above allegation is UNSUBSTANTIATED.

Licensee surrendered her Family Child Care Home license effective 09/23/2022 and is no longer caring for children at this facility address.

A copy of this report, along with Appeal Rights (LIC9058 01/16), was given to Licensee, Sayra Godinez.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5