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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376614462
Report Date: 08/16/2024
Date Signed: 08/16/2024 10:50:30 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, 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
06/05/2024 and conducted by Evaluator Gloria Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20240605132805
FACILITY NAME:CORDOVA, MARTHA FAMILY CHILD CAREFACILITY NUMBER:
376614462
ADMINISTRATOR:CORDOVA, MARTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 662-2370
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY:14CENSUS: 0DATE:
08/16/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Martha CordovaTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Possible drug activity on the premises
Uncleared adult on the premises
Uncleared adult poses a risk to children
Licensee yells at children
INVESTIGATION FINDINGS:
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On 8/16/24, at 9:30 am, Licensing Program Analyst (LPA), Gloria Gonzalez conducted a complaint inspection to deliver findings and met with LIcensee, Martha Cordova, regarding the above allegations. LPA advised Licensee of the purpose of the inspection and conducted a tour of the facility. There were no daycare children and Licensee's spouse was present during the inspection.

On 6/5/24, Community Care Licensing (CCL) received a complaint alleging possible drug activity on the premises, Uncleared adult on the premises, uncleared adult poses a risk to children, Licensee yells at children. During the course of the investigation interviews were conducted with Licensee, Licensee's spouse, Licensee's Adult children, several daycare children, and a daycare parent. Licensee denied the above allegations and stated that there are no drugs or weapons in the home. Licensee stated that the only adults living in the home are herself and her spouse and they are not a risk to children in care. Licensee stated that she disciplines children by removing the phone from them or TV time and talks to them but does not yell at them.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
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 2
Control Number 20-CC-20240605132805
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: CORDOVA, MARTHA FAMILY CHILD CARE
FACILITY NUMBER: 376614462
VISIT DATE: 08/16/2024
NARRATIVE
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Based on LPA's observations, interviews conducted, and records reviewed. There was no corroborating evidence regarding the allegations. Due to conflicting information obtained from the interviews, and 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 above allegations are found to be unsubstantiated.

No deficiencies cited.

A copy of this report and appeal rights (LIC 9058) was provided to LIcensee. LPA observed Licensee post LIC9213 – Notice of Site Visit and Licensee was advised this notice is to be posted for 30 days from today’s date. An exit interview was conducted with LIcensee, Martha Cordova.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2