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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376628244
Report Date: 04/06/2022
Date Signed: 06/01/2022 12:45:03 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
03/14/2022 and conducted by Evaluator Rajani Goudreau
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220314161536
FACILITY NAME:MONTALVO, MARINA FAMILY CHILD CAREFACILITY NUMBER:
376628244
ADMINISTRATOR:MARINA MONTALVOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 279-4015
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY:14CENSUS: 5DATE:
04/06/2022
UNANNOUNCEDTIME BEGAN:
08:58 AM
MET WITH:Marina Montalvo TIME COMPLETED:
09:30 AM
ALLEGATION(S):
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9
Minor inappropriately touched another minor while in care.
INVESTIGATION FINDINGS:
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On 06/01/22 at 11:56 a.m., Licensing program Analyst (LPA) Rajani Goudreau conducted an unannounced complaint visit for the purpose of delivering the complaint finding to the above listed allegation. Upon arrival LPA met with Staff Member, Cynthia Rodriguez and proceeded to tour the facility. During the visit there were nine children in care with two staff members present. During the course of the investigation, LPA obtained, and reviewed facility records. Interviews were conducted with the licensee, staff members, children in care and day care parents.

On March 14, 2022, Community Care Licensing (CCL) received a complaint alleging a minor inappropriately touched another minor while in care. Licensee denied an incident occurring at the day care regarding a minor inappropriately touching another minor while in care. Licensee disclosed children are always actively supervised during care. Due to conflicting information and a lack of supporting evidence obtained throughout the course of the investigation from interviews conducted, the allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2022
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-20220314161536
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: MONTALVO, MARINA FAMILY CHILD CARE
FACILITY NUMBER: 376628244
VISIT DATE: 04/06/2022
NARRATIVE
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No deficiencies were issued during today’s visit. The following reports were discussed and provided to the licensee: LIC9099, LIC9213 (Notice of Site Visit) and Appeal Rights (LIC9058). Notice of Site Visit shall be posted for 30 days from today’s date. Exit interview conducted with the Licensee, Marina Montalvo.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2