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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376628500
Report Date: 05/03/2024
Date Signed: 05/03/2024 12:19:26 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
03/18/2024 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20240318125555
FACILITY NAME:LOPEZ, ILIANA IXCEL FAMILY CHILD CAREFACILITY NUMBER:
376628500
ADMINISTRATOR:ILIANA IXCEL LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 504-8156
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:14CENSUS: 8DATE:
05/03/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Iliana LopezTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Staff used unusual form of punishment with child in care
INVESTIGATION FINDINGS:
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On 5/3/24 at11:00am, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the allegation listed above. LPA met with Licensee Iliana Lopez to discuss the purpose of the inspection and tour the facility. During the course of the investigation, two unannounced inspections were conducted. Interviews were conducted with reporting party, day-care parents and facility staff. Based on licensee's admission, child used the facility bathroom as a "me time" period (TIMEOUT). The preponderance of evidence standard has been met, therefore the above allegation is substantiated, meaning that the allegation is valid. This may pose a risk to the health and safety of the children in care, therefore, the facility is being cited on the attached LIC 9099D. Exit interview was conducted, report reviewed, and Appeal Rights discussed with licensee. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file. A Notice of Site Visit was given and must remain posted on, or immediately next to, interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2024
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 3
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
03/18/2024 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20240318125555

FACILITY NAME:LOPEZ, ILIANA IXCEL FAMILY CHILD CAREFACILITY NUMBER:
376628500
ADMINISTRATOR:ILIANA IXCEL LOPEZFACILITY TYPE:
810
ADDRESS:1753 BARBOUR AVENUETELEPHONE:
(619) 504-8156
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:14CENSUS: 8DATE:
05/03/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Iliana LopezTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Staff hit child in care
INVESTIGATION FINDINGS:
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On 5/3/24 at 11:00am, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the above allegation. LPA Castellon met with licensee Iliana Lopez and discussed the purpose of the inspection. It was alleged that Staff hit child in care. During the course of the investigation, two unannounced inspections were conducted. Interviews were conducted with reporting party, day-care parents and facility staff. LPA Castellon attempted to interview children in care. LPA Castellon could not corroborate the allegations. Due to conflicting statements obtained during the course of the investigation, the above allegation is deemed to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged allegation occurred. A copy of today's report, Notice of Site Visit and appeals rights given to the licensee. An exit interview was conducted with facility director. Notice of Site Visit should be posted for 30 days from today's date
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 20-CC-20240318125555
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: LOPEZ, ILIANA IXCEL FAMILY CHILD CARE
FACILITY NUMBER: 376628500
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/17/2024
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights (a) Each child receiving services "...shall have certain rights that shall not be waived ". These rights include, but are not limited to, the following:(4) To be free from corporal or unusual punishment "...or other actions of a punitive nature, including, but not limited
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Licensee Lopez will submit a written statement detailing that she understands that bathroom may be not used for TIMEOUT purposes. She will detail what areas or spaces will be used for TIME out.
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to: interference with eating, sleeping or toileting; ... or aids to physical functioning." This requirement was not met as evidenced by child in care using the facility bathroom as a "me time" (TIMEOUT). This may pose a threat to the health and safety of children in care.
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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: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3