376628994-12-10-2021-20-CC-CGRY-C9QVW2-20211215154709

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376628994
Report Date: 12/08/2021
Date Signed: 12/10/2021 04:46:14 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
09/10/2021 and conducted by Evaluator Adrian Castellon

COMPLAINT CONTROL NUMBER: 20-CC-20210910102633

FACILITY NAME:	DIAZ, KARLA FAMILY CHILD CARE		FACILITY NUMBER:	376628994
ADMINISTRATOR:	KARLA DIAZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 934-2494
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	14	CENSUS: 11	DATE:	12/08/2021
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Mabel Meza		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Facility is operating out of ratio

INVESTIGATION FINDINGS:

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On 12/08/21 at 11:30am, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the above allegation. LPA Castellon met with facility assistant Mabel Meza and discussed the purpose of the inspection. A second assistant was also present. It was alleged that the facility is operating out of ratio. During the course of the investigation, three unannounced inspections were conducted. Interviews were conducted with facility staff and an analyst from an outside agency. LPA Castellon also obtained a report from an outside agency. Even though licensee has a large capacity license, per age regulation ratios pertaining to infant children in care under 2 years of age, the maximum number of infant children under 2 years of age, allowed to be present in the facility with a large license, is 4 infants. Based on the licensee's admission and the outside agency's report, the allegation of facility being out of ratio is substantiated. The facility on at least one date had five infants present. As such, the preponderance of evidence standard has been met, therefore the above allegation of facility being out of ratio is found to be SUBSTANTIATED. Violations of the California Code of Regulations, Tittle 22, are being cited on the attached LIC9099D. Final findings delivered as substantiated, a type ‘B’ violation is being issued, as the situation posed a potential risk of proper care, for the 5 infant children present in the facility.

A copy of today's report, Notice of Site Visit and appeals rights given to the licensee. An exit interview was conducted with the licensee and licensee stated that she understood. Licensee were advised acknowledgement of receipt of the report is to be received via email. Notice of Site Visit should be posted for 30 days from today's date.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021

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-20210910102633

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: DIAZ, KARLA FAMILY CHILD CARE	FACILITY NUMBER: 376628994
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/08/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/08/2021 Section Cited CCR 102416.5(d)(1)	1 2 3 4 5 6 7	102416.5(d)(1) Staffing Ratio and Capacity: For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10,	1 2 3 4 5 6 7	Licensee explained that one of the infants was not scheduled to be in care today however, the parent had an emergency and dropped the infant off. LPA explained that once the maximum capacity ratios are met, licensee cannot accept additional child in care, as it would be in violation of license capacity ratios.
	8 9 10 11 12 13 14	shall be either: (1) Twelve children, no more than four of whom may be infants. This requirement was not met as evidenced by the large license facility providing care for five infants when twelve or less children were present. This could pose a potential risk to the safety of children in care.	8 9 10 11 12 13 14	Licensee stated that she will not accept excess children in the future, once her maximum capacities are met.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021

LIC9099 (FAS) - (06/04)

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