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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376620000
Report Date: 08/02/2024
Date Signed: 08/02/2024 09:12:26 AM

Unsubstantiated


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
05/14/2024 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20240514082231
FACILITY NAME:CRUZ, GUADALUPE & GONZALEZ, MATILDE FCCFACILITY NUMBER:
376620000
ADMINISTRATOR:GUADALUPE C. & MATILDE G.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 249-0539
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:14CENSUS: 6DATE:
08/02/2024
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:TIME COMPLETED:
08:25 AM
ALLEGATION(S):
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9
1. Licensee did not prevent children from engaging in inappropriate interactions.
2. Day-care child left the facility unsupervised.
3. Licensee restrained infants in care.
INVESTIGATION FINDINGS:
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On 8/2/24 at 8:15 AM, Licensing Program Analyst (LPA) Annette Sutherland conducted an unannounced complaint inspection to deliver findings regarding the above allegations. LPA Sutherland met with Licensee Matilde Gonzalez. Census was 6 children.
The Department fully investigated the above allegations and obtained information from interviews with reporting party, parents, staff member and Licensees.
LPA conducted numerous visits and did not witness any inappropriate interactions between children or lack of supervision. LPA witnessed children having craft time, snack time and outdoor playtime. The allegation regarding child left unsupervised may have occurred 2-3 years ago. LPA was unable to verify who that child could have been and was unable to confirm it ever occurred. There is however chain link short fence in the backyard, but the children know not to climb on it. Licensee stated there was a child a few years back that climbed the fence but did not climb over and was told not do that again and it never happened again. Licensee uses equipment as intended for by the manufacturer, and LPA did not witness any infants restrained in highchairs. Based on staff, parents interviews, the above-referenced allegations could not be conclusively proven or disproven. Therefore, they are considered Unsubstantiated. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies are cited. An exit interview was conducted with the Licensee. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) was provided along with the report (LIC9099) to the Licensee. LPA Sutherland observed Notice of Site Visit being posted. Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
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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