376628484-10-28-2021-20-CC-JGAY-C9NU4Z-20211213141555

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376628484
Report Date: 10/28/2021
Date Signed: 10/28/2021 04:35:09 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
10/19/2021 and conducted by Evaluator Casey Gulley

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20211019140506

FACILITY NAME:	BEILESON, ELSA & BEILESON, OSCAR FAMILY CHILD CARE		FACILITY NUMBER:	376628484
ADMINISTRATOR:	E. BEILSON & O. BEILESON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 608-7140
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91911
CAPACITY:	14	CENSUS: 4	DATE:	10/28/2021
		UNANNOUNCED	TIME BEGAN:	03:55 PM
MET WITH:	Elsa Beileson		TIME COMPLETED:	04:35 PM

ALLEGATION(S):

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Licensee did not prevent day care child from hitting another day care child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Casey Gulley and LPA Claudia Amador conducted an unannounced complaint inspection regarding the above allegation. Upon visit LPA met with Licensee Oscar and discussed the purpose for the visit. LPAs toured the facility with Licensee. LPA observed four(4) children in care and one staff at the time of visit. During the inspection, interviews were conducted with staff.

This agency has investigated the complaint alleging that on 10/18/21 Licensee did not prevent a day care child from hitting another day care child while being transported. During the investigation, LPA interviewed Licensee Oscar Beileson,and reviewed reporting party's statement. During the interviews, Licensee stated he was unaware that a child was hit due to transporting children. Licensee stated the child did not cry or complain that hit and this is why Licensee Oscar was unaware that the incident occurred.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Casey Gulley	TELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021

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-20211019140506

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: BEILESON, ELSA & BEILESON, OSCAR FAMILY CHILD CARE	FACILITY NUMBER: 376628484
	VISIT DATE: 10/28/2021

NARRATIVE

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There is insufficient evidence to support and no witnesses to corroborate that a lack of supervision resulted in the incident or that a personal rights violation occurred. 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 UNSUBTANTIATED. Licensee was provided appeal rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit. LPA observed that LIC 9213 was posted. No deficiencies cited. An exit interview was conducted with Licensee Oscar Beileson

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Casey Gulley	TELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021

LIC9099 (FAS) - (06/04)

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