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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376101175
Report Date: 05/08/2024
Date Signed: 05/20/2024 12:03:12 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO NORTH, 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
03/20/2024 and conducted by Evaluator Sherlynn Banas
COMPLAINT CONTROL NUMBER: 51-CC-20240320161839
FACILITY NAME:WEN, MIAOXIN & JESSE FAMILY CHILD CAREFACILITY NUMBER:
376101175
ADMINISTRATOR:MIAOXIN & JESSE WENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(442) 237-7707
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:14CENSUS: DATE:
05/08/2024
UNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Man XiaoTIME COMPLETED:
03:36 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensees engaged in a verbal altercation in the presence of day care children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
THIS IS AN AMENDED REPORT DELIVERED ON MAY 20, 2024

On May 8, 2024 at 2:55 PM, Licensing Program Analyst (LPA), Sherlynn Banas conducted an unannounced complaint investigation visit to deliver findings for the complaint received on March 20, 2024. LPA was greeted by Licensee, Miaoxin Wen and was granted entry after identifying herself and disclosing the reason for her visit. Based on the information obtained from staff, parents, and children during interviews, observations, and documentation reviewed, it is determined that there is insufficient evidence that the licensees engaged in verbal altercation in the presence of day care children.
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the above allegation is found to be Unsubstantiated.
Exit interview conducted and report was reviewed with the licensee, Miaoxin Wen. A notice of site visit was given and must remain posted for 30 days. LPA observed posting.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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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