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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 136609875
Report Date: 06/06/2022
Date Signed: 06/06/2022 02:50:17 PM

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
04/13/2022 and conducted by Evaluator Rajani Goudreau
COMPLAINT CONTROL NUMBER: 20-CC-20220413162306
FACILITY NAME:CHAVEZ, GRACIELA FAMILY CHILD CAREFACILITY NUMBER:
136609875
ADMINISTRATOR:GRACIELA CHAVEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 344-5048
CITY:BRAWLEYSTATE: CAZIP CODE:
92227
CAPACITY:14CENSUS: 9DATE:
06/06/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Graciela Chavez TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Licensee left day care child in soiled diaper for extended period of time.
Licensee denied day care child water.
INVESTIGATION FINDINGS:
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On 06/06/22 at 12:00 p.m., Licensing program Analyst (LPA), Rajani Goudreau conducted an unannounced complaint inspection for the purpose of delivering the complaint findings to the above listed allegations. Upon arrival LPA met with Licensee, Graciela Chavez, and proceeded to tour the facility. During the inspection there were nine children in care with one staff member present. Staff member assisted in translating the inspection. During the course of the investigation, records were reviewed obtained and from the facility, interviews were conducted with the Licensee, staff member, daycare children and parents.

On April 13, 2022, Community Care Licensing (CCL) received a complaint alleging Licensee left day care child in a soiled diaper for extended period of time and Licensee denied day care child water. During an interview with Licensee, Licensee denied leaving children in soiled diapers for extended periods of time or refusing children water. According to Licensee, children are provided water upon request and throughout the day. According to parents, there are no concerns regarding the diapering needs of the children or children being denied water. Licensee indicated, the children’s diapers are checked every two hours and on a as needed basis with every diaper change documented.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2022
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 2
Control Number 20-CC-20220413162306
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: CHAVEZ, GRACIELA FAMILY CHILD CARE
FACILITY NUMBER: 136609875
VISIT DATE: 06/06/2022
NARRATIVE
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Due to conflicting information obtained throughout the course of investigation the allegations are found to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

No deficiencies issued during today’s visit. The following reports were discussed and provided to the director: LIC9099 reports, LIC9213 (Notice of Site Visit) and Appeal Rights (LIC9058). Notice of Site Visit shall be posted for 30 days from today’s date. Exit interview conducted with Licensee, Graciela Chavez.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2