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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376617485
Report Date: 03/22/2023
Date Signed: 03/22/2023 04:40:46 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
02/15/2023 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20230215140749
FACILITY NAME:ACOSTA, ALMA FAMILY CHILD CAREFACILITY NUMBER:
376617485
ADMINISTRATOR:ALMA ACOSTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 280-1515
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 8DATE:
03/22/2023
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:ClaudiaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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1. Care is not being provided in the Licensee’s home.
INVESTIGATION FINDINGS:
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On 3/23/23 at 2:30 PM, Licensing Program Analysts (LPAs) Annette Sutherland and Keturah Lane conducted an unannounced visit for the purpose of delivering findings on the above-referenced allegation. During today's visit, Licensee was not home and will not return until Friday 3/24/23. Facility helpers Claudia Reynoso and Stephany Villa Lopez were present with 8 children. During the investigation, LPAs reviewed relevant documentation and conducted interviews.

Based upon information gathered via Licensee, supporting documents, and interviews with enrolled children it has been determined that Licensee allows an adult that is not associated to the license to pick up children from school and transport them to an unlicensed facility. There is enough supporting information that the above allegation is substantiated. Exit interview was conducted with Ms. Reynoso Notice of Site Visit is to be posted for 30 days. LPA observed Ms. Reynoso post the notice of site visit. LPA (name of analyst) informed licensee [or facility representative] (include name) that this report dated (insert visit date) document(s) (number of Type A citation) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Continued on LIC 9099C





Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
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
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
02/15/2023 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20230215140749

FACILITY NAME:ACOSTA, ALMA FAMILY CHILD CAREFACILITY NUMBER:
376617485
ADMINISTRATOR:ALMA ACOSTAFACILITY TYPE:
810
ADDRESS:4650 ORANGE AVENUETELEPHONE:
(619) 280-1515
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 8DATE:
03/22/2023
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Claudia ReynosoTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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This is an amended report

1. Licensee is not capable of operating the license due to illness.
INVESTIGATION FINDINGS:
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On 3/23/23 at 2:20PM, Licensing Program Analysts (LPAs) Annette Sutherland and Keturah Lane conducted an unannounced visit for the purpose of delivering findings on the above-referenced allegation. During today's visit, Licensee was not home and will not return until Friday 3/24/23. Facility helpers Claudia Reynoso and Stephany Villa Lopez were present with 8 children. During the investigation, LPAs reviewed relevant documentation and conducted interviews.

Based upon information obtained from facility file reviews, facility documents, observations and interviews with children, it is determined that the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is UNSUBSTANTIATED.



Exit interview was conducted with Ms. Reynoso Notice of Site Visit is to be posted for 30 days. LPA observed Ms. Reynoso post the notice of site visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 51-CC-20230215140749
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: ACOSTA, ALMA FAMILY CHILD CARE
FACILITY NUMBER: 376617485
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/23/2023
Section Cited
CCR
102352(f)(1)
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102352(f)(1)"Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away. The term "Family Child Care" supersedes the term "Family Day Care" as used in previous regulations. This requirement was not met based upon….
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Licensee will provide a written statement on how she will make an immediate correction upon her return and the children shall remain in licensee's care during the hours they are cared for.
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Based upon interviews with enrolled children, it was determined that licensee was allowing an unassociated individual to pick up the children from school and transport them to an unlicensed facility, which is an immediate health, safety and personal rights 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: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 51-CC-20230215140749
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: ACOSTA, ALMA FAMILY CHILD CARE
FACILITY NUMBER: 376617485
VISIT DATE: 03/22/2023
NARRATIVE
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Also, LPAs Annette Sutheland and Keturah Lane informed the licensee's helper Ms. Reynoso to provide a copy of this licensing report dated 3/22/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4