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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376100403
Report Date: 12/02/2024
Date Signed: 12/02/2024 03:38:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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
10/24/2024 and conducted by Evaluator Renita Rodriguez
COMPLAINT CONTROL NUMBER: 51-CC-20241024192544
FACILITY NAME:GUEVARA, MA DE LA LUZ FAMILY CHILD CAREFACILITY NUMBER:
376100403
ADMINISTRATOR:MA DE LA LUZ GUEVARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 733-6611
CITY:SAN DIEGOSTATE: CAZIP CODE:
92124
CAPACITY:14CENSUS: 7DATE:
12/02/2024
UNANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:Ma De La Luz GuevaraTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Licensee is operating out of ratio.
INVESTIGATION FINDINGS:
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On 12/2/24 at 2:07 p.m. LPA Renita Rodriguez made an unannounced visit to deliver complaint findings on the above-referenced allegation. LPA was greeted by Licensee, Ma De La Luz Guevara. There were 7 children in care today.

During the investigation, LPA interviewed the Licensee who confirmed that she was out of ratio on 10/24/24 when she accepted a 5th child under 2 years old, exceeding the limits of her license. A copy of the LIC 500, Child Roster, was obtained to verify enrolled children. Based on the interview with Licensee and review of the roster, there is a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation is found to be SUBSTANTIATED and a Type B deficiency will be cited on the accompanying LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024
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 4
Control Number 51-CC-20241024192544
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: GUEVARA, MA DE LA LUZ FAMILY CHILD CARE
FACILITY NUMBER: 376100403
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/27/2024
Section Cited
CCR
102416.5(b)(1)
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102416.5 Staffing Ratio and Capacity (b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time shall be... four infants
This evidence is not met by
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Licensee corrected the over ratio on 10/24/24 and understands the regulations as set by Community Care Licensing.
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Based on interview with licensee and review of the roster, on 10/24/24 Licensee was caring for 5 infants, exceeding her licensed capacity. This is a potential risk to the health and safety of 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: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4