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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376625408
Report Date: 06/18/2024
Date Signed: 06/18/2024 01:11:44 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 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
03/25/2024 and conducted by Evaluator Michelle Hood
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20240325144101
FACILITY NAME:RINCON, ADELAIDA FAMILY CHILD CAREFACILITY NUMBER:
376625408
ADMINISTRATOR:ADELAIDA RINCONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 475-6506
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:14CENSUS: 12DATE:
06/18/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Licensee Adelaida RinconTIME COMPLETED:
01:25 PM
ALLEGATION(S):
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Facility is not kept free of hazards.
Facility is unkempt.
Facility is not kept free of rodents.
INVESTIGATION FINDINGS:
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On 06/18/2024 at 12:30 pm, Licensing Program Analyst (LPA) Michelle Hood, conducted an unannounced complaint inspection for the purpose of delivering findings on the allegations listed above. Upon arrival LPA met with licensee Adelaide Rincon and informed her of the purpose of the inspection. Licensee's adult daughter/helper was present and assisted with translation in Spanish. There were 12 children present at the time of this inspection.

During the investigation, LPA Dana Stevens conducted two unannounced facility inspections, interviewed Licensee, Licensee's adult son and daughter, daycare children, daycare parents and reviewed facility records. LPA did not observe any potential hazards inside or outside the facility during inspections. During inspections, LPA did not observe any evidence of unhealthy or unsanitary conditions. LPA inspected the inside and outside of the facility and no rodents or evidence of rodents, such as droppings or chewed up debris, were observed. LPA did observe multiple cats inside and outside the facility. No statements or evidence to support these allegations were obtained in child, parent, or staff interviews.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
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-20240325144101
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: RINCON, ADELAIDA FAMILY CHILD CARE
FACILITY NUMBER: 376625408
VISIT DATE: 06/18/2024
NARRATIVE
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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 allegations are unsubstantiated.

An exit interview was conducted, and the report was reviewed with the Licensee Adeline Rincon. Rincon was provided with a copy of their appeal rights (LIC 9058 3/22) and their signature on this form acknowledges receipt of these rights. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
LIC9099 (FAS) - (06/04)
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