376628418-4-4-2024-20-CC-JGAY-D4CUP6-20240415154459

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376628418
Report Date: 04/04/2024
Date Signed: 04/04/2024 03:15:46 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
01/22/2024 and conducted by Evaluator Cindy Meier

COMPLAINT CONTROL NUMBER: 20-CC-20240122092701

FACILITY NAME:	JOHNSON, SHERRIE & CEJI FAMILY CHILD CARE		FACILITY NUMBER:	376628418
ADMINISTRATOR:	SHERRIE & CEJI JOHNSON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 846-2640
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	14	CENSUS: 9	DATE:	04/04/2024
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Sherrie Johnson and Ceji Johnson		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Daycare child sustained an unexplained injury while in care.

INVESTIGATION FINDINGS:

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On 04/04/24 at 1:15 p.m. Licensing Program Analyst (LPA), Cindy Meier conducted an unannounced complaint inspection to deliver the findings of the above allegation. LPA met with Co-licensee’s, Sherrie Johnson and Ceji Johnson and advised Co-licensees of the purpose of the inspection and conducted a tour of the facility. There were nine (9) children, co-licensee's and adult resident (A1) present during the inspection.

During the course of the investigation, LPA conducted interviews with co-licensees, adult resident (A1), day care staff (S1) and day-care parents. The facility roster, electronic correspondences, law enforcement report, hospital report and photographs were obtained and reviewed by LPA.

It was alleged that on 1/19/24 child (C1) sustained an unexplained injury while in care. Co-licensee’s stated, although present in the home, neither visibly observed the injury

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024

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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Control Number 20-CC-20240122092701

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: JOHNSON, SHERRIE & CEJI FAMILY CHILD CARE	FACILITY NUMBER: 376628418
	VISIT DATE: 04/04/2024

NARRATIVE

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happen, heard C1 cry and observed that C1 had fallen forward from a sitting position, hit the left side of face, under eye, on the edge of the carpet and tile floor. Appropriate first aid was administered to C1 and C1’s parents were notified, along with photos. Communication of C1’s ability to sit unattended had been discussed with licensee’s and parent. At the time of the injury, A1 was outside on a walk with the older day-care children and S1 arrived after the injury. Day care children were not interviewed due to age. Day-care parents interviewed expressed satisfaction with the care the licensee provides and had no concerns.

Based on the information obtained throughout the course of the investigation and no other witnesses to the alleged incident, there is not a preponderance of evidence to prove the alleged violation was a result of lack of supervision, and instead an accident, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with Co-licensee, Ceji Johnson. A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024

LIC9099 (FAS) - (06/04)

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