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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376100080
Report Date: 12/03/2021
Date Signed: 01/28/2022 02:59:15 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
10/07/2021 and conducted by Evaluator Michael Morales-DeSilvestore
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20211007092534
FACILITY NAME:RAMASWAMY, ALLA & BALA FAMILY CHILD CAREFACILITY NUMBER:
376100080
ADMINISTRATOR:ALLA & BALA RAMASWAMYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 814-2595
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:14CENSUS: 7DATE:
12/03/2021
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Bala RamaswamyTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Licensee caused injuries to a daycare child while in care
INVESTIGATION FINDINGS:
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This is an amended report from the original report on 12/3/21.
On 1/28/22 Licensing Program Analyst made an unannounced complaint tele-visit for the complaint received on 10/7/21 for the purpose of delivering findings on the above reference allegation. During the visit there were 7 children in care.

During the investigation it was found that the preponderance of the evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. 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.

Upon Receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee will obtain a signed LIC9224 for all children currently enrolled and newly enrolled children for the next 12 months. An exit interview was conducted, A copy of this report and Appeal Rights (1/16) were discussed and emailed to the Licensee. Licensee will confirm receipt of this email in lieu of signature.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestore
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
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-20211007092534
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: RAMASWAMY, ALLA & BALA FAMILY CHILD CARE
FACILITY NUMBER: 376100080
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/10/2021
Section Cited
CCR
102423
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102423 Personal Rights (a)(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by:
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Lincensee will submit a written plan to the Department on how they will handle inconsoloble children as to not disturb the other children while they are sleeping. Licensee will also keep a behavior log to track such instances. Plan is due to the Department by 12/10/21.
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Based on observation and interview Child #1 obtained redness and bruising on his back as a result of the provider trying to rub the childs back to put them to sleep which poses an immediate health and safety risk to persons 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: Michael Morales-DeSilvestore
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2