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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500602
Report Date: 09/21/2023
Date Signed: 09/21/2023 12:55:10 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/14/2023 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20230914163757
FACILITY NAME:QUIROGA, SILVIAFACILITY NUMBER:
394500602
ADMINISTRATOR:SILVIA QUIROGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 451-6355
CITY:STOCKTONSTATE: CAZIP CODE:
95205
CAPACITY:14CENSUS: 8DATE:
09/21/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Silvia QuirogaTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Infant sustained multiple unexplained injuries while in care.
INVESTIGATION FINDINGS:
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On September 21st, 2023, at 11:30 AM, Licensing Program Analyst (LPA), David Nguyen conducted an unannounced field visit to deliver the findings for the above allegation. LPA arrived at the facility and was met by Licensee, Silvia Quiroga. LPA disclosed the purpose of the inspection and was granted entrance. LPA toured the facility inside and outside and observed eight (8) children being supervised by Licensee and two (2) Assistants.

It was alleged that “Infant sustained multiple unexplained injuries while in care.” During the investigation, LPA, Nguyen inspected the facility and interviewed the Licensee, Assistants, and Child. Based on the information obtained throughout the course of this investigation, the above allegation could not be substantiated or dismissed.

During the interviews, LPA Nguyen found conflicting information regarding the allegation. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted in which the report was reviewed and discussed with the Licensee. LPA provided a copy of the report and Appeal Rights to the Licensee. A Notice of Site visit was posted by LPA and Licensee understands it must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/14/2023 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20230914163757

FACILITY NAME:QUIROGA, SILVIAFACILITY NUMBER:
394500602
ADMINISTRATOR:SILVIA QUIROGAFACILITY TYPE:
810
ADDRESS:1539 NORTH NEWPORT AVENUETELEPHONE:
(209) 451-6355
CITY:STOCKTONSTATE: CAZIP CODE:
95205
CAPACITY:14CENSUS: 8DATE:
09/21/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Silvia QuirogaTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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9
Injuries were not reported to parent in a timely manner.
INVESTIGATION FINDINGS:
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On September 21st, 2023, at 11:30 AM, Licensing Program Analyst (LPA) David Nguyen conducted a complaint investigation visit and met with Licensee, Silvia Quiroga. The purpose of the inspection visit was to deliver the findings for the above allegation. LPA disclosed the purpose of the inspection and was granted entrance. LPA toured the facility inside and outside and observed eight (8) children being supervised by Licensee and two (2) assistants.

During the course of the investigation, LPA Nguyen conducted interviews with Licensee, Assistants, and Child. In addition, LPA obtained information pertaining to allegation and observed the care and supervision of the daycare children. It was alleged that “Injuries were not reported to parent in a timely manner.” Interviews conducted revealed that there was time that Licensee, Silvia Quiroga did not report child’s injuries to child’s parent in a timely manner.

Based on the interviews conducted it was determined that the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following Title 22 Deficiency is being cited on the subsequent 9099-D page.

----Report continues on subsequent page LIC 9099
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
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 4
Control Number 53-CC-20230914163757
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: QUIROGA, SILVIA
FACILITY NUMBER: 394500602
VISIT DATE: 09/21/2023
NARRATIVE
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Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee. A notice of site visit was provided and must remain posted for 30 days. Licensee's signature on this form acknowledges receipt of this form. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA Nguyen informed licensee, Silvia Quiroga that this report dated September 21st, 2023 documents one (1) Type B citation during the course of investigation.

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 53-CC-20230914163757
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: QUIROGA, SILVIA
FACILITY NUMBER: 394500602
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2023
Section Cited
HSC
1597.467
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1597.467 Injury or acts of violence reporting requirements.
(a) Whenever any licensee under this chapter has reasonable cause to believe that a child in his or her care has suffered any injury or has been subjected to any act of violence while under the licensee's care, the licensee shall, as soon as possible, report that injury or act of violence to the parent, parents, or guardian of that child.

This requirement was not met as evidenced by:
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Licensee agrees to contact children’s parents as soon as possible via phone calls or text messages with photos of children’s injuries to report the children’s injuries while they are in her care.

Licensee also agrees to frequently update with parents their contact information, such as phone numbers and addresses for communication purpose in case of an emergency.
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Based on interviews conducted, it was revealed that injuries were not reported to the child’s parent in a timely manner. This poses a potential health, safety, or personal rights 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: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4