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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376623578
Report Date: 01/05/2022
Date Signed: 01/05/2022 01:40:56 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
12/10/2021 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20211210145853
FACILITY NAME:JEFFRIES, MARIA FAMILY CHILD CAREFACILITY NUMBER:
376623578
ADMINISTRATOR:MARIA JEFFRIESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 756-7578
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:14CENSUS: 2DATE:
01/05/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Maria JeffriesTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Licensee left infant unattended on the sofa
INVESTIGATION FINDINGS:
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On January 5th, 2022 at 9:45 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a complaint inspection regarding the above allegation. LPA advised Licensee Maria Jeffries of the meeting’s purpose and was granted facility entry. Present were two (2) infants and the Licensee. Language Link Operators 13964 and 14133 provided Spanish translation services.

The investigation involved interviews with the Licensee, staff, parents, and collateral witnesses. It also involved record reviews and facility observations. The Licensee stated she left the infant on the sofa for a very short period of time observed by witnesses. Based on the Licensee’s admission, conducted interviews and review of supportive documentation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED, California Code of Regulations, (Title 22, Division 12 Chapter 3), the deficiency is being cited on the attached LIC 9099D.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2022
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 7
Control Number 20-CC-20211210145853
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: JEFFRIES, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376623578
VISIT DATE: 01/05/2022
NARRATIVE
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The Notice of Site Visit (LIC 9213) was provided to the Licensee, which is to be posted at the facility for 30 days. This notice was posted during this inspection. An exit interview was conducted with Licensee Maria Jeffries. Appeal/Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to the Licensee and their signature on this form confirms receipt of these rights.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022
LIC9099 (FAS) - (06/04)
Page: 7 of 7
Control Number 20-CC-20211210145853
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: JEFFRIES, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376623578
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/05/2022
Section Cited
CCR
102423(a)(2)
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Personal Rights – “…Each child receiving services from a family childcare home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include …To receive safe … accommodations ..." This
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Licensee and LPA reviewed the “Safety for Your Child: Birth to 6 Months” informational flier from HealthyChild.Org. Licensee acknowledges that infants left unattended on the sofa may fall off of that sofa. Licensee agreed never to leave any infants unattended
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requirement was not met as evidenced by: both the provider and witnesses state an infant was left unattended on the living room sofa in the witnesses’ presence. Based on interviews, the Licensee failed to ensure the child received safe accommodations which poses as a potential risk to children in care.
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on any sofas, furniture, chairs, beds and/or changing tables. Licensee provided LPA with a signed statement confirming that she will not leave infants unattended on any sofas, furniture, chairs, beds and/or changing tables. This deficiency has been cleared.

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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: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 7
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
12/10/2021 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20211210145853

FACILITY NAME:JEFFRIES, MARIA FAMILY CHILD CAREFACILITY NUMBER:
376623578
ADMINISTRATOR:MARIA JEFFRIESFACILITY TYPE:
810
ADDRESS:3623 MENLO AVENUETELEPHONE:
(619) 756-7578
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:14CENSUS: 2DATE:
01/05/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Maria JeffriesTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Licensee has unsafe equipment accessible to children in care
INVESTIGATION FINDINGS:
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On January 5th, 2022 at 9:45 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a complaint inspection regarding the above allegation. LPA advised Licensee Maria Jeffries of the meeting’s purpose and was granted facility entry. Present were two (2) infants and the Licensee. Language Link Operators 13964 and 14133 provided Spanish translation services.

It was alleged that computer cords on the floor were accessible to the children. The investigation involved interviews with the Licensee, staff, parents, and collateral witnesses. It also involved record reviews and a facility tour. Due to conflicting obtained information, the allegation that the Licensee has unsafe equipment accessible to children has been determined to be 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 20-CC-20211210145853
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: JEFFRIES, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376623578
VISIT DATE: 01/05/2022
NARRATIVE
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The Notice of Site Visit (LIC 9213) was provided to the Licensee, which is to be posted at the facility for 30 days. This notice was posted during this inspection. An exit interview was conducted with Licensee Maria Jeffries. Appeal/Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to the Licensee and their signature on this form confirms receipt of these rights.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 7