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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376101281
Report Date: 02/23/2023
Date Signed: 02/23/2023 02:14:51 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
02/21/2023 and conducted by Evaluator Jennifer Lott
COMPLAINT CONTROL NUMBER: 51-CC-20230221122506
FACILITY NAME:GAD, BRIKSAM FAMILY CHILD CAREFACILITY NUMBER:
376101281
ADMINISTRATOR:BRIKSAM GADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(786) 440-3746
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:14CENSUS: 1DATE:
02/23/2023
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Operator, Briksam Gad TIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Unlicensed care being provided
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Lott conducted a complaint investigation visit regarding the above mentioned allegation. LPA was greeted at the front door by Operator, Briksam Gad, and granted entry after identifying herself and disclosing the purpose of her visit. During today’s visit, LPA toured the home and interviewed the licensee. Currently there was 1 child in care.

Based on information obtained and interviews, it is determined that the program does not meet the requirements for exemption from licensure criteria under Title 22 regulation Section 101158 and Health and Safety code Section 1596.792. Therefore, the above allegation of unlicensed childcare is found to be SUBSTANTIATED, per Health and Safety code Section 1596.80 and noted on the attached LIC 9099D. A notice of Operation in Violation of Law and copy of this report was provided to operator, Briksam Gad. Facility representative, Briksam Gad, applied for a Family Child Care License on 09/13/2022 but applicant has not been granted a license at this time. Continued unlicensed operation may result in civil penalties of $200 per day. Operator, Gad was provided a copy of this report and signature acknowledges receipt.
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023
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 2
Control Number 51-CC-20230221122506
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: GAD, BRIKSAM FAMILY CHILD CARE
FACILITY NUMBER: 376101281
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/24/2023
Section Cited
HSC
1596.80
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Child day care facilities, licenses: No person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license, therefore as provided in this act. This requirement was not met as evidenced by:
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Operator, Gad signed a declaration stating that they will cease operating a family child care home until their license is granted.
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Based on LPA’s observations and interviews, Operator, Gad is providing care and supervision to children. This presents a 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: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2