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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376619438
Report Date: 02/03/2023
Date Signed: 02/03/2023 03:56:46 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
11/14/2022 and conducted by Evaluator Jennifer Lott
COMPLAINT CONTROL NUMBER: 51-CC-20221114131011
FACILITY NAME:CALDWELL, KIMBERLY FAMILY CHILD CAREFACILITY NUMBER:
376619438
ADMINISTRATOR:KIMBERLY CALDWELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 328-9748
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:14CENSUS: 7DATE:
02/03/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Licensee, Kimberly Caldwell TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Licensee is not providing adequate supervision to the day care children


INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Lott conducted a complaint investigation visit to deliver findings for the above allegations. LPA was greeted at the front door by Licensee, Kimberly Caldwell and was granted entry after identifying herself and disclosing the reason for her visit.

The Department’s investigation consisted of a review of records and interviews.
It is alleged that on or about November 2022, that the licensee was not providing adequate supervision to the day care children. Interviews with staff and parents revealed that several children have been bit by other children, some multiple times. Although licensee attempts to redirect when possible, there is no written plan in place to identify which prevention strategies would work in an effort to maintain a safe and healthy environment for all children.

This agency has investigated the complaint alleging licensee is not providing adequate supervision to the day care children. Based on LPA’s review of records and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited per California Code of Regulations, Title 22, Division 6 on the attached 9099D. An exit interview was conducted and report was reviewed with Licensee, Caldwell. A notice of site visit was given, and must remain posted for 30 days.
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
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 3
Control Number 51-CC-20221114131011
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: CALDWELL, KIMBERLY FAMILY CHILD CARE
FACILITY NUMBER: 376619438
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
02/17/2023
Section Cited
CCR
102423(a)(1-4)
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Personal Rights …To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by:

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Licensee states they will develop a written plan to identify which prevention strategies would work in an effort to maintain a safe and healthy environment for all children. Plan will be submitted to CCL via fax or email.
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On or about November 2022, interviews revealed that several children had been bit several times by other children. This poses a potential health and safety 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: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
11/14/2022 and conducted by Evaluator Jennifer Lott
COMPLAINT CONTROL NUMBER: 51-CC-20221114131011

FACILITY NAME:CALDWELL, KIMBERLY FAMILY CHILD CAREFACILITY NUMBER:
376619438
ADMINISTRATOR:KIMBERLY CALDWELLFACILITY TYPE:
810
ADDRESS:8632 ATLAS VIEW DRIVETELEPHONE:
(619) 328-9748
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:14CENSUS: 7DATE:
02/03/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Licensee, Kimberly Caldwell TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Adult in the home is not following infection control practices
INVESTIGATION FINDINGS:
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It also is alleged that an adult in the home is not following infection control practices. Interviews conducted revealed that the licensee did follow CDPH requirements involving isolation, cleaning and quarantine. Additionally, the licensee closed their facility and used a separate entrance into the day care classroom once the facility reopened.

This agency has investigated the complaint alleging an adult in the home is not following infection control practices. The Department has found that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and report was reviewed with Licensee, Caldwell. A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
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 3