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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376629015
Report Date: 11/17/2021
Date Signed: 11/17/2021 10:26:37 AM

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
09/13/2021 and conducted by Evaluator Luigi Gargaro
COMPLAINT CONTROL NUMBER: 20-CC-20210913091720
FACILITY NAME:SANTILLAN, VERONICA FAMILY CHILD CAREFACILITY NUMBER:
376629015
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
11/17/2021
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Veronica SantillanTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Due to a lack of supervision, a child sustained injuries while in care at the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/17/21 at 10:00AM, LPA, Luigi Gargaro, conducted an unannounced complaint visit with the licensee today to deliver the finding for the above listed allegation. During the course of the investigation, analyst conducted interviews with the licensee, family members who sometimes assist in a limited capacity at the facility, verbal day care children and day care parents. Reports from other investigating agencies and medical records were also reviewed.

Based on the information gathered, it could not be conclusively proved or disproved that child #1 sustained bruise injuries and marks while in care at the facility or, if that was the case, whether they occurred due to a lack of supervision or any other reason.

Though the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Appeal Rights (1/16) were discussed. A copy of the report, appeal rights and a Notice Of Site Visit, to be posted for 30 days, were printed and provided to the licensee today. No deficiencies were cited.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021
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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