376628994-12-22-2021-20-CC-CGRY-CA538T-20211227170202

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376628994
Report Date: 12/22/2021
Date Signed: 12/22/2021 03:11:50 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
10/06/2021 and conducted by Evaluator Adrian Castellon

COMPLAINT CONTROL NUMBER: 20-CC-20211006083956

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: 5	DATE:	12/22/2021
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Karla Diaz		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Staff hit day care child

INVESTIGATION FINDINGS:

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On 12/22/21 at 8:45am, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the above allegation. LPA Castellon met with licensee Karla Diaz and discussed the purpose of the inspection. It was alleged that a staff member hit a day-care child. During the course of the investigation, four unannounced inspections were conducted. Interviews were conducted with day-care parents, facility staff, and day-care children. There were no interviews that could corroborate the allegations. Due to conflicting statements obtained during the course of the investigation, the above allegation is deemed to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged allegation occurred. 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 understoodl. Notice of Site Visit should be posted for 30 days from today's date.

Unsubstantiated

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: 12/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021

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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