376628539-3-9-2023-20-CC-JGAY-CQCSPN-20230328140324

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376628539
Report Date: 03/09/2023
Date Signed: 03/09/2023 10:35:10 AM

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
02/02/2023 and conducted by Evaluator Edgar Campana

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20230202162046

FACILITY NAME:	GAMBOA, MARIA FAMILY CHILD CARE		FACILITY NUMBER:	376628539
ADMINISTRATOR:	MARIA GAMBOA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 452-8760
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	14	CENSUS: 10	DATE:	03/09/2023
		UNANNOUNCED	TIME BEGAN:	09:58 AM
MET WITH:	Maria Gamboa		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Day care child sustained unexplained injuries while in care

INVESTIGATION FINDINGS:

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On 03/09/23, at 09:58 A.M., LPA Edgar Campana, conducted an unannounced complaint visit to this facility in order to deliver the findings for the above allegation. Analyst met with Licensee, Maria Gamboa, for the delivery of the findings. Licensee led LPA on a tour of the facility. There were 10 daycare children present during the inspection as well as an assistant and an adult resident, both of whom are cleared and associated.

During the course of the investigation, interviews were conducted with the licensee, a staff member, daycare parents, and daycare children.

It was alleged that a daycare child sustained unexplained injuries while in care. Interviews were conducted with five (5) daycare parents, licensee, a staff member, and three (3) daycare children 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: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

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-20230202162046

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: GAMBOA, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 376628539
	VISIT DATE: 03/09/2023

NARRATIVE

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During interview with daycare parents, no parents expressed any concern regarding level of care or supervision provided at facility. During interviews with licensee and staff member, facility supervision and reporting practices were discussed and were found to be in compliance with Department regulations. During interviews with daycare children, no conclusive information related to allegation was obtained.

Based on interviews conducted, there is a lack of evidence available to be able to draw definitive conclusions. Although the above 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 it is determined that the above allegation is UNSUBSTANTIATED.

A copy of this report, appeal rights (LIC 9058 - 03/22), and LIC 9213 – Notice of Site Visit was provided to the licensee. Licensee was advised to post the LIC 9213 for 30 days. An exit interview was conducted with licensee, Maria Gamboa.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

LIC9099 (FAS) - (06/04)

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