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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376627409
Report Date: 02/17/2022
Date Signed: 02/17/2022 04:20:52 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
12/22/2021 and conducted by Evaluator Michael Morales-DeSilvestore
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20211222101850
FACILITY NAME:TAYLOR, KIMBERLY & SHARKEY, KATIE FCCFACILITY NUMBER:
376627409
ADMINISTRATOR:KIMBERLY T. & KATIE S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 243-3623
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:14CENSUS: 8DATE:
02/17/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Kimberly TaylorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day care provider is not appropriately feeding infant in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 2/17/22 at 1:30pm LPA Michael Morales-DeSilvestore made an unannounced complaint visit for the complaint received on 12/22/21 for the purpose of delivering findings on the above reference allegation.

Based on the information obtained during interviews and documentation reviewed it is determined that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted and will remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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