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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376629080
Report Date: 10/17/2022
Date Signed: 10/17/2022 12:11:31 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
08/24/2022 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220824142244
FACILITY NAME:MORAN, NEREIDA FAMILY CHILD CAREFACILITY NUMBER:
376629080
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
10/17/2022
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Nereida MoranTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Licensee did not prevent day care child from being harmed by other child(ren) in care

INVESTIGATION FINDINGS:
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On October 17, 2022 at 9:50 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a complaint inspection regarding the above allegation. LPA advised Licensee Nereida Moran of the visit’s purpose and she granted LPA facility entry. Language Link Operator 14995 provided Spanish translation. Present in the home was the Licensee, staff and two children (one 1 year old infant and one 3 year old toddler child.

The investigation involved interviews with the children, daycare parents, reporting party, staff and the Licensee. On or about 08/04/2022, 08/05/2022 and 08/08/2022, Child 1 (C1) sustained a pinch mark on their bottom lip, in addition to bite and pinch marks on their arms from Child 2 (C2) while supervised by the Licensee. (See LIC 811 Confidential Names). Licensee reported that on 08/04/2022, 08/05/2022 and 08/08/2022, they observed C1 grabbed toys out of the hands of Child 2 (C2), who reacted by scratching, biting and pinching C1.

Based on interviews, record reviews, photographs of the injuries and Licensee’s written declaration, the preponderance of evidence standard has been met, therefore the above allegation that the Licensee did not
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
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 5
Control Number 20-CC-20220824142244
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: MORAN, NEREIDA FAMILY CHILD CARE
FACILITY NUMBER: 376629080
VISIT DATE: 10/17/2022
NARRATIVE
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prevent day care child from being harmed from other child(ren) in care is found to be SUBSTANTIATED, California Code of Regulations, (Title 22, Division 12 Chapter 3) are being cited on the attached LIC 9099D.

LPA Jo Ann Legaspi informed Licensee Nereida Moran that this report dated (10/17/2022) documents one (1) Type A citation. A Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA Legaspi informed the licensee to provide a copy of this licensing report dated (10/17/2022) that documents any Type A citation to the parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. LPA provided Licensee one (1) blank LIC 9224 form.

A 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. Exit interview conducted and report was reviewed with the Licensee Nereida Moran.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 20-CC-20220824142244
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: MORAN, NEREIDA FAMILY CHILD CARE
FACILITY NUMBER: 376629080
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/17/2022
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home – “ … The licensee shall … ensure that children in care are supervised at all times …” This requirement is not met as evidenced by:
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The Licensee has completed the CDSS CCL Family Child Care training videos regarding supervision and personal rights. The Licensee has provided the Department with her written statement regarding what she learned from these training videos. The Licensee also participated in training with the Chicano
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Based on interviews and record reviews, on 3 separate days, C2 scratched, bit and pinched C1 resulting with C1's injuries while in the Lic.'s supervision. The Lic. did not comply with the section cited above in that a child injured another child while under the Lic.'s supervision, which poses as an immediate health, safety or personal rights risk to children in care.
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Federation regarding working with aggressive children, effective discipline techniques and communication techniques with parents. The Licensee has provided the Dept. with her written statement regarding what she learned from this training session. This deficiency has been cleared.

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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: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
08/24/2022 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220824142244

FACILITY NAME:MORAN, NEREIDA FAMILY CHILD CAREFACILITY NUMBER:
376629080
ADMINISTRATOR:NEREIDA MORANFACILITY TYPE:
810
ADDRESS:1158 ELROSE COURTTELEPHONE:
(619) 852-8971
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY:8CENSUS: 2DATE:
10/17/2022
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Nereida MoranTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Day care child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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On October 17, 2022 at 9:50 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a complaint inspection regarding the above allegation. LPA advised Licensee Nereida Moran of the visit’s purpose and she granted LPA facility entry. Language Link Operator 14995 provided Spanish translation. Present in the home was the Licensee, staff and two children (age 1 year and 3 years).

The investigation involved interviews with the children, parents, reporting party, staff and the Licensee. On or about 08/04/2022, 08/05/2022 and 08/08/2022, Child 1 (C1) sustained a pinch mark on their bottom lip, in addition to bite and pinch marks on their arms from Child 2 (C2) while supervised by the Licensee. (See LIC 811 Confidential Names). Licensee reported that on or about 08/04/2022, 08/05/2022 and 08/08/2022, they observed C1 grabbed toys out of the hands of Child 2 (C2), who reacted by scratching, biting and pinching C1. The Licensee stated that when the parent picked up the child, the Licensee explained the origins of the child’s injuries to the parent.





Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
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 5
Control Number 20-CC-20220824142244
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: MORAN, NEREIDA FAMILY CHILD CARE
FACILITY NUMBER: 376629080
VISIT DATE: 10/17/2022
NARRATIVE
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Due to conflicting obtained statements and information, the allegation that a daycare child sustained unexplained injuries while in care has been determined to be unsubstantiated. A finding that the complaint is “Unsubstantiated” means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

A 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. Exit interview conducted and report was reviewed with the Licensee Nereida Moran.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5