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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 136610511
Report Date: 10/07/2022
Date Signed: 10/07/2022 01:28:25 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
08/09/2022 and conducted by Evaluator Dana Stevens
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220809145140
FACILITY NAME:ORTEGA, MARIA FAMILY CHILD CAREFACILITY NUMBER:
136610511
ADMINISTRATOR:MARIA ORTEGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 556-9713
CITY:BRAWLEYSTATE: CAZIP CODE:
92227
CAPACITY:14CENSUS: 5DATE:
10/07/2022
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Maria OrtegaTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Child was injured in care.
INVESTIGATION FINDINGS:
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On 10/07/2022 at 12:10 PM, LPA Dana Stevens conducted an unannounced complaint visit for the purpose of delivering findings on the above allegation. LPA met with Licensee, Maria Ortega. There were 5 napping daycare children present, ages 1, 1, 2, 3 and 3. Facility was within ratio and capacity limits.

Throughout the investigation LPA interviewed Reporting Party, Licensee, Licensee's assistant, and daycare parents and reviewed facility records and Unusual Incident documentation. All parties witness to the injury agreed that the child's arm appeared to have been injured during care when the Licensee was leading the child by the hand and the child pulled back in resistance and sat down hard on the floor. During interview RP stated that the orthopedic specialist who examined the child believed the child's injury was likely "nursemaids elbow" which occurs commonly in child care usually when a child pulls away suddenly from an adult who is holding the child's hand or arm.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
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-20220809145140
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: ORTEGA, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 136610511
VISIT DATE: 10/07/2022
NARRATIVE
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Though the evidence obtained in the investigation indicates the child was injured while in care, there is not a preponderance of evidence that the injury resulted from Licensee's negligence or mis-handling of the child, thus the allegation of Child was Injured in Care is deemed Unsubstantiated. LPA discussed with Licensee the use of alternate means of handling children to avoid this injury in the future, such as picking children up by placing hands gently around the ribs, under the armpits, and using verbal cues to get children's attention.

No deficiencies cited.

Exit interview was conducted and copy of this report and appeal rights were provided to Licensee. Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2