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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 136610561
Report Date: 06/30/2022
Date Signed: 06/30/2022 03:31:21 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
04/12/2022 and conducted by Evaluator Dana Stevens
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220412105915
FACILITY NAME:HERNANDEZ, JANET FAMILY CHILD CAREFACILITY NUMBER:
136610561
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
06/30/2022
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Janet HernandezTIME COMPLETED:
02:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
An uncleared adult frequents the facility during the day.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/30/2022 at 1:45 PM, Licensing Program Analyst Dana Stevens conducted an inspection to conclude the licensing investigation regarding the above allegation. LPA advised Licensee Janet Hernandez of the inspection's purpose and was granted entry to the facility. No daycare children were present at the time of the inspection.

During the investigation, LPA interviewed Licensee, daycare parents, neighbors and family members. Based on conflicting information obtained in confidential interviews this allegation is deemed Unsubstantiated. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies cited.

Exit interview conducted and copy of report provided to Licensee. Notice of SIte visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022
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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