376627819-6-24-2022-20-CC-JGAY-CGYN7B-20220804101229

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376627819
Report Date: 06/24/2022
Date Signed: 06/24/2022 03:22:02 PM

Unsubstantiated

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
05/23/2022 and conducted by Evaluator Edgar Campana

COMPLAINT CONTROL NUMBER: 20-CC-20220523132414

FACILITY NAME:	CERVANTES, MIRIAM & ARREDONDO, MIRIAM FCC		FACILITY NUMBER:	376627819
ADMINISTRATOR:	MIRIAN CERVANTES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 313-8782
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	14	CENSUS: 0	DATE:	06/24/2022
		ANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Miriam Cervantes		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Day care child sustained unexplained injuries while in care.
Incident was not reported.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Edgar Campana held an announced meeting on 06/24/2022 to conclude complaint investigation. LPA met with Co-licensee, Miriam Cervantes, to discuss above allegations. Meeting was held at the San Diego Regional Child Care office as Co-licensees have moved and are no longer living or operating at licensed facility address. No children were present. This agency has investigated the above listed allegations. Throughout the course of the investigation, LPA conducted interviews with daycare children, daycare parents, staff, a neighbor and Co-licensees.

Regarding the allegation that a day care child sustained unexplained injuries while in care, LPA interviewed five (5) daycare parents of which none reported any unexplained injuries to their children while attending the day care home. LPA interviewed Co-Licensees regarding any incidents of injuries to daycare children. Co-licensees indicated that although some children had been injured while attending daycare, none of the injuries were serious in nature or caused by a lack of supervision. LPA also interviewed two (2) daycare children of which neither was able to provide any pertinent information regarding this allegation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2022

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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Control Number 20-CC-20220523132414

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: CERVANTES, MIRIAM & ARREDONDO, MIRIAM FCC	FACILITY NUMBER: 376627819
	VISIT DATE: 06/24/2022

NARRATIVE

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Regarding the allegation that an incident was not reported, LPA interviewed the Co-Licensees, a neighbor and (5) daycare parents. Co-Licensees stated that any injuries sustained by daycare children are reported to parents the same day. Co-licensees further stated that they sometimes request the assistance of a neighbor to send text messages to English speaking parents to relay information regarding their children, including injuries sustained while attending daycare. LPA interviewed neighbor and reviewed text messages sent to daycare parents on Co-licensee's behalf. LPA interviewed (5) daycare parents of which one (1) parent indicated that their child had sustained an injury while at the daycare; this injury however was reported promptly by the Co-licensees.

Based on interviews conducted and LPA observations, there is a lack of evidence available to be able to draw definitive conclusions. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore it is determined that the above allegations are UNSUBSTANTIATED.

A copy of this report, and appeal rights LIC 9058 and an exit interview was conducted with Co-Licensee, Miriam Cervantes.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2022

LIC9099 (FAS) - (06/04)

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