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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376100057
Report Date: 01/20/2022
Date Signed: 01/20/2022 04:30:40 PM

Substantiated


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
01/14/2022 and conducted by Evaluator Tyra Block
COMPLAINT CONTROL NUMBER: 51-CC-20220114164250
FACILITY NAME:DIOP, KOUMBA FAMILY CHILD CAREFACILITY NUMBER:
376100057
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
01/20/2022
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Koumba DiopTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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Facility is operating over the capacity.
INVESTIGATION FINDINGS:
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On 1/20/22 at 3:30pm, Licensing Program Analyst (LPA), Tyra Block made an unannounced initial 10-day visit, for the complaint received on 1/14/22, regarding the above allegation. LPA met with Licensee, Koumba Diop. Also present in the home were 6 daycare children (including 2 infants), helper, Aida Manga, and licensee's minor children. Facility was within ratio and capacity. LPA discussed purpose of visit with licensee. She acknowledged being over capacity once in October. Due to school closure she accepted a child for care.
Based on the information obtained during interview and documentation reviewed it is determined that the allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1) the deficiency is being cited on the attached LIC 9099D.
The Notice of Site Visit was provided. Licensee is advised it must remain posted for 30 days. An exit interview was conducted with licensee, Koumba Diop. A copy of this report was provided.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022
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 2
Control Number 51-CC-20220114164250
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: DIOP, KOUMBA FAMILY CHILD CARE
FACILITY NUMBER: 376100057
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/20/2022
Section Cited
CCR
102416.5(a)
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102416.5(a)-Staffing Ratio and Capacity: The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement was not met as evidenced by:
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Provider acknowledged that she made a mistake and has provided a written statement that she will ensure it does not happen again going forward by not accepting additional children.The written statement was provided at the conclusion of the visit.
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Based on interview and documentation reviewed, on 10/5/21 licensee cared for 4 additional children due to school closure. This poses a potential health and safety risk to 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: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2