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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376627673
Report Date: 01/03/2020
Date Signed: 01/03/2020 12:38:58 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
12/26/2019 and conducted by Evaluator Elise Read
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20191226085700

FACILITY NAME:GANDARILLA, MA DE LOURDES FAMILY CHILD CAREFACILITY NUMBER:
376627673
ADMINISTRATOR:MA DE LOURDES GANDARILLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 906-6174
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 4DATE:
01/03/2020
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Maria de Lourdes Gandarilla TIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Uncleared adult in the home
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPAs) Elise Read and Gloria Gonzalez conducted an unannounced complaint inspection. LPA Gonzalez translated the inspection in Spanish. LPAs met with licensee to investigate the above allegations. Present at the facility were licensee, helper Sarahi Alvarado, and 4 day care children. Sarahi Alvarado does not have a fingerprint clearance.
During today's inspection, LPAs conducted staff interviews, child interviews, and reviewed child records. LPAs obtained updated facility roster.

Based on LPAs observations, interviews which were conducted, and record review, the preponderance of evidence standard has been met, therefore the above allegations is found SUBSTANTIATED.
California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D.

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. LPA provided notice of site visit and observed it being posted at the facility.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2020
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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Control Number 51-CC-20191226085700
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: GANDARILLA, MA DE LOURDES FAMILY CHILD CARE
FACILITY NUMBER: 376627673
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/03/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/06/2020
Section Cited
CCR
102370(d)(1)
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Criminal Record Clearance- All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility…Obtain a California clearance or a criminal record exemption as required by the Department…This requirement was not met as evidenced by:
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Licensee states that Sarahi Alvarado will get Live Scan fingerprinted. Licensee will submit photo of completed Live Scan form to LPA Elise Read via text message by the POC due date of 01/06/2020.
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Based on LPA observation, licensee did not ensure that staff Sarahi Alvarado was fingerprint cleared, which poses an immediate Health, Safety, or Personal Rights risk to 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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2020
LIC9099 (FAS) - (06/04)
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