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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376101281
Report Date: 07/22/2024
Date Signed: 07/22/2024 12:06:56 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
05/08/2024 and conducted by Evaluator Gerald Poindexter
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20240508234210
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:
07/22/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Briksam GadTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee interfered with a daycare child's medical needs
Adult is using drugs while providing care and supervision
Licensee is not abiding to Admission Procedures and Parental Rights
Uncleared adults are in the home while daycare children are present
INVESTIGATION FINDINGS:
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On 7/22/24 at 11:30 am, Licensing Program Analyst Gerald Poindexter made an unannounced visit for the complaint received on 5/8/24 for the purpose of delivering findings on the above reference allegation. LPA met with Briksam Gad, licensee. The following ratios were observed today: 2 children, 1 staff.

Based on LPA observation, information obtained at the facility, review of facility records and other pertinent documentation, and interviews with the Reporting Party (RP), licensee, facility staff, children, and parents, the allegations cannot be proven or disproven, as follows:

The allegation that “Licensee interfered with a daycare child's medical needs” could not be verified. There was neither physical evidence nor medical documentation available, and no corroborating information obtained during interviews.


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

DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024
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-20240508234210
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: 07/22/2024
NARRATIVE
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The allegation that “Adult is using drugs while providing care and supervision” could not be verified. There were no corroborating statements or documentation, supporting visual evidence, nor direct witness to support the allegation.

The allegation that “Licensee is not abiding to Admission Procedures and Parental Rights” could not be verified. Records review and interviews were conducted to investigate the allegation and its associated details.

The allegation that “Uncleared adults are in the home while daycare children are present” could not be verified. Based on LPA observation, interviews, and records review, the adults present in the home during operating hours were background cleared and associated.

The above allegations are found to be UNSUBSTANTIATED. 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.

No deficiencies are cited.

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: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2