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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376627900
Report Date: 03/05/2020
Date Signed: 05/18/2020 01:26:15 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
10/02/2019 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20191002103018
FACILITY NAME:CAMPOS, CLAUDIA FAMILY CHILD CAREFACILITY NUMBER:
376627900
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
03/05/2020
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Claudia CamposTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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 Child in care bitten on multiple occasions
INVESTIGATION FINDINGS:
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LPA Adrian Castellon conducted a complaint inspection on this date. LPA Castellon met with licensee Claudia Campos and discussed the purpose of the inspection which is to deliver complaint findings. On 10.02.19, the SDCCRO received a complaint alleging that a child in has been bitten on multiple occasions while in care.

A full investigation was conducted. LPA Castellon conducted interiews with daycare parents, a child in care and facility staff. Licensee states that the same child has bitten multiple children. LPA Castellon obtained information that the same child has been bitten on more than one occasion. Licensee states that she has taken action to stop the biting. Based on the information gathered, interviews conducted and the licensee's own admission, the preponderance of evidence has been met, therefore the above allegation is found to be substantiated. A Type A Citation will be issued on this date. LPA Castellon discussed LIC9224 process with licensee Ratcliffe. Appeal rights were discussed verbally and a copy of said rights was given to licensee.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2020
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 2
Control Number 20-CC-20191002103018
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: CAMPOS, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 376627900
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/05/2020
Section Cited
CCR
102417(a)
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102417(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. This requirement was not met as evidenced by:
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Licensee Campos states that she has taken extra measures to prevent biting at her facility. The measures include: providing extra care to children who are prone to biting and speaking to the children's parents about how to deal with biting at home. Licensee Campos will submit a written plan to prevent biting.
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interviews conducted and licensee's own admission that child in care was bitten on more than one occasion by a child in care. This poses an immediate threat 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: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2