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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304300905
Report Date: 01/04/2023
Date Signed: 01/04/2023 11:26:53 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/10/2022 and conducted by Evaluator Dianna ValdezSantana
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20221010160054
FACILITY NAME:JACOBO-SEGUIN, CORINNEFACILITY NUMBER:
304300905
ADMINISTRATOR:JACOBO-SEGUIN, CORINNEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 638-7510
CITY:GARDEN GROVESTATE: CAZIP CODE:
92841
CAPACITY:14CENSUS: 10DATE:
01/04/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Staff, Angie Rojas TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility staff yell at children in care
Facility staff does not safely transport children
Childcare home is in disrepair
Facility staff spoke inappropriately in the presence of children in care
INVESTIGATION FINDINGS:
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On 1/4/2023, Licensing Program Analysts (LPAs) Dianna Valdez Santana and LPA Aidee Nunez conducted an in-person inspection to deliver the findings regarding the above complaint allegations. LPAs met with staff, Angie Rojas and then licensee arrived to home. There was a total of 10 children with 2 staff present. A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
10/10/22, Licensing office received a complaint alleging the following: childcare home is in disrepair, facility staff yell at children in care, staff speak inappropriately in the presence of children in care, and facility staff do not safely transport children. Reporting Party (RP) stated the following: the wall in the backyard was falling off; Staff yelled at the children when they get in trouble; Staff used profanity in front of children; Staff transported the children in the van and did not wait until the van door closed.
During the course of investigation, LPA Valdez Santana interviewed licensee, 5 staff members, 3 parents, and 3 children. LPA conducted a facility inspection, reviewed children files, and obtained the facility roster.
Page 1 of 3.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 6
Control Number 06-CC-20221010160054
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: JACOBO-SEGUIN, CORINNE
FACILITY NUMBER: 304300905
VISIT DATE: 01/04/2023
NARRATIVE
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During the staff interview, licensee stated the following: they have had an on-going problem with a disgruntled neighbor who would harass the children and parents. This neighbor hates kids and complains about the noise all the times. This neighbor also has screamed at some of my parents before. Licensee has lost a lot of business because of this neighbor and the neighbor is very belligerent.

Staff #1 (S1) stated the following: Licensee has frequent conversations with staff about trainings and there is not an issue with staff yelling or speaking inappropriately in front of children in care. The neighbor next door has a problem with the daycare and is always screaming and telling the children to be quiet. The children are not too loud at all.

Staff #2 (S2) stated the following: There are no concerns about the condition children were being transported and believe the staff and the van used to transport the children were safe. Staff members do not yell at children or use foul language in front of them.

Staff #3 (S3) stated, S3 and licensee are the closers at the end of the day and they have never spoken inappropriately in front of the children. S3 said they care for the children as if they were their own and S3 would speak up if one of the staff spoke inappropriately to them or in front of them. S3 said it is the angry neighbor that yells at the children and has even scared them. S3 says the staff do not respond to neighbor’s yelling or angry comments. S3 said there is no one called “papa” only “grandpa”. S3 says licensee. Staff 4 (S4) and their spouse live in the home and yes, licensee is present in the home.

Staff #4 (S4) stated they transport the children in care and helps watch them overnight. S4 said they are always safe when transporting the children. S4 said they never start to drive off with the doors of the van open, they always ensure that the children are safe with seat belts on before driving off. S4 believes the other staff also take all the precautions necessary to ensure everyone’s safety. S4 also stated they live in the daycare home with their spouse and the licensee and the licensee’s child. S4 stated Staff 5 (S5) is very safe and very responsible when transporting children. S4 says none of the staff yell at the children or speak inappropriately in front of them, it is the neighbor that yells. Neighbor has scared children and they are then taking the children inside to avoid interactions for the children. S4 said it is the neighbor that yells obscenities to them and the staff do not engage and just ignore the neighbor.
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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 06-CC-20221010160054
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: JACOBO-SEGUIN, CORINNE
FACILITY NUMBER: 304300905
VISIT DATE: 01/04/2023
NARRATIVE
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Staff 5 (S5) stated the children refer to him as “grandpa’ not “papa” and S5 occasionally helps transport children when needed. S5 stated, they do not yell at children in care only correct them. S5 stated they are hard of hearing so sometimes S5 will speak loudly. S5 stated, neighbor next door is the one yelling at them and at the children. S5 does not know what neighbor is saying but says they are unhappy and always yell at the kids.

On 12/27/22 LPA Valdez Santana attempted to interview 8 parents, however only 3 parents were available for interviews. None of the parents disclosed any concern with the childcare facility or staff. All of the parents are happy with the childcare.

LPA interviewed 3 children and 2 of 3 stated the staff are nice.

LPA inspected the facility on 10/13/2022 and observed the fence in question was sturdy and not in disrepair. LPA also did not observe facility to be in disrepair. LPA also inspected the van used to transporting the children in care, the van seemed in good condition and safe for children.

Based on LPA’s observations, interviews conducted with licensee, staff members, children, and reviewing records, it was determined there was insufficient evidence to support the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.



Exit interview was conducted with licensee Corinne Jacobo-Seguin. Notice of Site Visit was posted during the visit. Licensee was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

End of Report, Page 3 of 3.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/10/2022 and conducted by Evaluator Dianna ValdezSantana
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20221010160054

FACILITY NAME:JACOBO-SEGUIN, CORINNEFACILITY NUMBER:
304300905
ADMINISTRATOR:JACOBO-SEGUIN, CORINNEFACILITY TYPE:
810
ADDRESS:9642 DEWEY DRIVETELEPHONE:
(714) 638-7510
CITY:GARDEN GROVESTATE: CAZIP CODE:
92841
CAPACITY:14CENSUS: 10DATE:
01/04/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Staff, Angie Rojas TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee does not live in the childcare home
INVESTIGATION FINDINGS:
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On 1/4/2023, Licensing Program Analyst (LPAs) Dianna Valdez Santana and Aiddee Nunez conducted an in-person inspection to deliver the findings regarding the above complaint allegations. LPA Valdez Santana met with staff, Angie Rojas and later licensee arrived. There was a total of 10 children with 2 staff present. A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
10/10/22, Licensing office received a complaint alleging licensee does not live in the home. Report Party (RP) stated licensee does not live in the home, but the employees do.
Upon arrival on the initial 10-day inspection, LPA Valdez-Santana and Gutierrez met with staff member Ma de Lourdes Mercado and Angelica Rojas. Licensee Corrine Jacobo-Seguin was not present at the facility. LPA conducted an interview with licensee via phone and licensee stated the following: Licensee’s personal belongings are in the downstairs basement closet because licensee had a lot of clothes. Licensee did not use the shower in licensee’s bathroom because there’s a leak. Licensee is not always at the facility because licensee is either running errands for the daycare or taking care of licensee’s ill elderly parents. Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 06-CC-20221010160054
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: JACOBO-SEGUIN, CORINNE
FACILITY NUMBER: 304300905
VISIT DATE: 01/04/2023
NARRATIVE
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LPAs Valdez Santana and Gutierrez inspected licensee’s bedroom. It was observed that the bedroom was mostly empty. There was a bed and other furniture in the bedroom, but the closet and the restroom were empty.

File review indicated licensee were not present at the daycare upon LPAs arrival to conduct the inspections. The inspection are dated as follow: 4/20/2017, 5/7/2018, 11/18/2019, 10/27/2021, 6/13/2022, 3/30/2022, 3/28/2022, and 10/13/2022.

During the course of the investigation and interviews S5 disclosed licensee lives in the daycare home most of the time but also has another home.

Based on LPA’s observations and records reviewed, and interviews, it was determined there was sufficient evidence to prove that licensee does not live in daycare home; therefore, the allegation is substantiated. California Code of Regulations, Title 22, Division 12 & Chapter 1, Article 1 Definition 102352(f)(1) is being cited on the attached LIC9099D.



Exit interview was conducted with licensee, Corinne Jacobo-Seguin. Notice of Site Visit was posted during the visit. Facility representative/licensee was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 06-CC-20221010160054
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: JACOBO-SEGUIN, CORINNE
FACILITY NUMBER: 304300905
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
01/18/2023
Section Cited
CCR
102352(f)(1)
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102352 (f)(1) Definitions: Child Care shall be provided in the providers own home, for periods of less than 24 hours a day, while the parents are away.
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Licensee denied not living in daycare home and will appeal to Regional Office.
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 This requirement was not met as evidenced based by LPAs’ observations and record reviews, licensee failed to live in own home when providing care to the children. This poses a potential health risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 6