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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376101281
Report Date: 07/11/2024
Date Signed: 07/23/2024 01:03:05 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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
04/22/2024 and conducted by Evaluator Gerald Poindexter
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20240422081810
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: 2DATE:
07/11/2024
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Briksam GadTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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THIS IS AN AMENDED REPORT DELIVERED ON 7/23/24

On 7/11/24 at 12 pm, Licensing Program Analyst Gerald Poindexter made an unannounced visit for the complaint received on 4/22/24 for the purpose of delivering findings on the above reference allegation. LPA met with Briksam Gad, licensee. The following ratios were observed today: two children, supervised by two staff.

Based on the information obtained during observation at the facility, review of facility records, documents reviewed, and interviews with the licensee, facility staff, children, and parents, it is determined that there is not enough evidence to corroborate the allegation that “Child sustained unexplained injuries while in care.” There were no corroborating statements or documentation, supporting visual evidence, nor direct witness to support or dismiss the allegation.



Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
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-20240422081810
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: GAD, BRIKSAM FAMILY CHILD CARE
FACILITY NUMBER: 376101281
VISIT DATE: 07/11/2024
NARRATIVE
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THIS IS AN AMENDED REPORT DELIVERED ON 7/23/24

This Department has investigated the above allegation. We have found that the complaint was UNSUBSTANTIATED, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or disprove that the alleged violations occurred.

Exit interview conducted and report was reviewed with the licensee Briksam Gad. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal rights were provided.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2