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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376627212
Report Date: 10/21/2019
Date Signed: 10/21/2019 04:31:17 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
10/18/2019 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20191018134842
FACILITY NAME:INFANTE, BLANDINA FAMILY CHILD CAREFACILITY NUMBER:
376627212
ADMINISTRATOR:BLANDINA INFANTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 513-4116
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY:14CENSUS: 11DATE:
10/21/2019
UNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Blandina InfanteTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility operated over capacity
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced complaint inspection regarding the above allegation. LPA advised Licensee Infante of the visit’s meeting and granted LPA facility entry. Present in the home was the Licensee, two (2) helpers and eleven (11) daycare children.

It was alleged that the facility operated over capacity. The daycare is licensed for fourteen (14) children. An interview was conducted with the Licensee and outside sources. Obtained documentation demonstrated that on 03/25/2019, from 3:30 PM to 4:30 PM, staff cared for twenty two (22) children. The Licensee provided simultaneous care to twenty-two (22) children; fifteen (15) school aged, four (4) toddlers and three (3) infants. The Licensee confirmed they were over capacity.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2019
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-20191018134842
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: INFANTE, BLANDINA FAMILY CHILD CARE
FACILITY NUMBER: 376627212
VISIT DATE: 10/21/2019
NARRATIVE
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On 03/25/2019, between 3:30 PM to 4:30 PM, the Licensee exceeded capacity by providing care for a total of twenty-two (22) children. The Licensee acknowledged being over capacity. The Licensee and LPA discussed capacity/ratio for large Family Child Care homes. The capacity/ratio pamphlet and CCR 102416.5 were provided to Licensee.

Based on the Licensee’s admission, conducted interviews and review of supportive documentation, 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), the deficiency is being cited on the attached LIC 9099D.

The Notice of Site Visit (LIC 9213) was provided to the Licensee, which is to be posted at the facility for 30 days. LPA observed form LIC 9213 posted.

An exit interview was conducted with Licensee Infante. Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to staff and their signature on this form confirms receipt of these rights.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 20-CC-20191018134842
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: INFANTE, BLANDINA FAMILY CHILD CARE
FACILITY NUMBER: 376627212
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/04/2019
Section Cited
CCR
102416.5(f)
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This is an amended report. Staffing Ratio & Capacity - “… The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children….” This requirement was not met as evidenced by: The facility is licensed for fourteen (14). In March 2019, the License simultaneously cared
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LPA provided Licensee with a hard copy of CCR 102416.5 and the ratio/capacity worksheet. LPA and Licensee reviewed these documents together.

The Licensee agrees to provide LPA with a written statement acknowledging
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for twenty-two (22) children. Based on interviews and record reviews, the Licensee failed to ensure the daycare’s legal capacity, which poses as a potential risk to children in care.
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an understanding of this code section and legal capacity.

The Licensee agrees to provide LPA with a written statement on how she will prevent
overcapacity.
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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: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3