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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376628181
Report Date: 01/27/2020
Date Signed: 01/27/2020 06:27:22 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
01/23/2020 and conducted by Evaluator Elizabeth Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20200123085134
FACILITY NAME:CHAPA, CLAUDIA FAMILY CHILD CAREFACILITY NUMBER:
376628181
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 7DATE:
01/27/2020
UNANNOUNCEDTIME BEGAN:
03:46 PM
MET WITH:Claudia ChapaTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Home is operating out of ratio and/or over capacity
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Rivera conducted an unannounced initial 10-day inspection regarding the above allegation. Upon arrival LPA met with Licensee, Claudia Chapa. Present was the Licensee and 7 children including 3 infants. Upon arrival LPA observed Licensee operating over capacity. Licensee admitted to be operating out of ratio. Parent arrived at 3:40 p.m. to pick up child #1 who was also disenrolled from day-care.

Based upon information gathered through observations, the preponderance of evidence standard has been met indicating Licensee is operating over ratio, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter number, are being cited on the attached LIC 9099D.

An exit interview was conducted with Licensee. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA's observed Licensee post notice of site visit.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Elizabeth RiveraTELEPHONE: (619) 767-2232
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020
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 3
Control Number 51-CC-20200123085134
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: CHAPA, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 376628181
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/27/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/27/2020
Section Cited
HSC
102416.5(b)(2)
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(b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time...(2) Six children, no more than three of whom may be infants... This requirement was not met as evidenced by:
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Licensee contacted parent for Child #1 to get picked up and was disenrolled from day-care. Parent arrived at 3:40 p.m. picked up child and was informed by Licensee that child must be disenroll to meet ratio capacity.
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Based on LPA's observation and Licensee's own admission. Licensee did not provide care for the maximum amount of 6 children when providing care for 3 infants. Upon LPA arrival Licensee had 3 infants and 4 toddlers. This poses an immediate Risk for 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: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Elizabeth RiveraTELEPHONE: (619) 767-2232
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3