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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376626922
Report Date: 05/15/2023
Date Signed: 06/15/2023 04:44:44 PM

Unsubstantiated


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
02/28/2023 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20230228145733
FACILITY NAME:WANG, DAVID & SALLEW, YEZINA FAMILY CHILD CAREFACILITY NUMBER:
376626922
ADMINISTRATOR:DAVID WANG & YEZINA SALLEWFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 228-7076
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:14CENSUS: 2DATE:
05/15/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Yezina SallewTIME COMPLETED:
09:15 AM
ALLEGATION(S):
1
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9
Staff not providing adequate supervision to children in care.







THIS IS AN AMENDED REPORT DELIVERED ON 6/15/23.
INVESTIGATION FINDINGS:
1
2
3
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5
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9
10
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13
On 5/15/23 at 8:45 AM Licensing Program Analyst (LPA) Adrian Mangina conducted an unannounced inspection to deliver the findings for the complaint received 2/23/23. LPA met with Licensee Yezina Sallew. There were 2 children present. It was alleged that Licensees did not provide adequate supervision allowing one child to act inappropriately with another child. During the investigation, LPA completed document review, made observations, and conducted interviews of staff and others. LPA was unable to corroborate the allegation as there were conflicting statements from witnesses as to what exactly occurred. Licensee stated that the children were playing hide and seek in the same room when the incident occurred, and although she had the live feed showing in the room she was in, she did not see what happened as she was feeding other children in care, but she did hear one child make statements to another child to stop potential inappropriate behavior. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the above allegation is found to be Unsubstantiated. Exit interview conducted and report was reviewed with the Licensee Yezina Sallew. 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023
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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