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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376629402
Report Date: 01/19/2023
Date Signed: 01/19/2023 10:51:24 AM

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
01/11/2023 and conducted by Evaluator Diana Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20230111153234
FACILITY NAME:PAVIA, PATRICIA FAMILY CHILD CAREFACILITY NUMBER:
376629402
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
01/19/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Patricia Pavia, ProviderTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Uncleared staff working at the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Diana Sanchez, made an unannounced complaint inspection today and met with Patricia Pavia. Inspection was conducted in Spanish language since provider is a spanish speaker. LPA explained the allegation and toured the facility. Current census is 1.

During facility inspection, provider stated that her cleared assistant #1 could no longer help her at the daycare. Therefore, as an emergency, she asked her daughter in law (assistant #2) to immediately start helping her on 01/09/2023, since she needed help right away. Provider stated that assistant #2 got fingerprinted right after. It is to be noted that assistant #2 fingerprints were cleared effective 01/15/2023. Provider stated that assistant #2 helped her four days from 01/09/2023 to 01/12/2023.

Based upon LPA's observation, provider's interview and records reviewed, the preponderance of evidence standard has been met, therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 3, is being cited on the attached LIC-9099D. An immediate civil penalty of our hundred dollars ($400), is being assessed for having an unclear adult assisting at the daycare.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
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
Control Number 20-CC-20230111153234
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: PAVIA, PATRICIA FAMILY CHILD CARE
FACILITY NUMBER: 376629402
VISIT DATE: 01/19/2023
NARRATIVE
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LPA Sanchez informed licensee, Patricia Pavia to provide a copy of this licensing report dated, 01/19/2023 that documents any Type A citation(s) to 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.

Exit interview conducted and report was reviewed with licensee, Patricia Pavia. A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 20-CC-20230111153234
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: PAVIA, PATRICIA FAMILY CHILD CARE
FACILITY NUMBER: 376629402
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/20/2023
Section Cited
CCR
102370(d)(1)
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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility... Obtain a California clearance..... required by the Department
This requirement was not met as evidenced by:
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Although, assistant #2 is now fingerprint cleared, provider Patricia Pavia stated that she will review the regulation section cited today and send a written statement to the San Diego Child Care Regional Office.
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Based on licensee’s admission, interviews conducted, and records reviewed, the licensee did not ensure assistant #2 get fingerprint clear before starting working, which poses an immediate Health and Safety risk to 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: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3