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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376617364
Report Date: 04/26/2022
Date Signed: 04/26/2022 04:01:48 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
02/24/2022 and conducted by Evaluator Marie Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220224134938
FACILITY NAME:BROWN, LISA FAMILY CHILD CAREFACILITY NUMBER:
376617364
ADMINISTRATOR:LISA BROWNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 972-3724
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:14CENSUS: 12DATE:
04/26/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lisa Brown, LicenseeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff failed to adequately supervise day-care child resulting in injuries.
INVESTIGATION FINDINGS:
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On April 26, 2022, at 1:00 PM, Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced visit to deliver the complaint investigation findings to the above allegation. LPA met with the Licensee, Lisa Brown. Present during the visit are twelve children with the Licensee and the adult helper, Jezebel Figueroa. Through the course of the complaint investigation, LPA conducted several confidential interviews with ten day care children, two former day care children, thirteen day care parents, and the adult helper. LPA toured the facility and reviewed pertinent information.

The interviews revealed that child #1 was running in the backyard, slipped and injured the arm on 12/23/2021. As per the interviews, it was stated that the helper was present during the incident with child #1. The Licensee stated she was inside the home (facility) gathering items for the day care children’s holiday party of 12/23/2021 and did not observe the incident. The Licensee stated the adult helper advised her of the incident and they both tended to child #1’s needs. The Licensee stated she advised child #1’s parent of the incident. The parent took child#1 to the doctors and child was diagnosed with a fractured clavicle.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
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-20220224134938
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: BROWN, LISA FAMILY CHILD CARE
FACILITY NUMBER: 376617364
VISIT DATE: 04/26/2022
NARRATIVE
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However, it could not be determined whether child #1 sustained a fractured clavicle due to a lack of supervision. The Reporting Party is adamant that the injury of 12/23/2021 to child #1 occurred due to a lack of supervision by the Licensee and the adult helper. The Licensee and the adult helper admit that the incident occurred at the day care but that it was not due to a lack of supervision. The Licensee and the adult helper stated the children are supervised and that child #1’s incident was an accident.

It was reported that on November 3, 2021, child #1 sustained a bump on the forehead while at the park with the Licensee, adult helper, and other day care children. It was reported that child #1 was climbing on the rope play structure at the park when another day care child shook the rope and child #1 fell to the ground hitting the forehead. It was reported that the incident occurred due to a lack of supervision by the Licensee and the adult helper. Child #1 told LPA that he did not tell the Licensee or the adult helper about the incident. The child was not taken to the doctors for the bump. The interviews revealed that the Licensee, adult helper, and the other children did not observe the incident with child #1 at the park. The Licensee and the adult helper stated child #1 nor any other child sustained an injury at the park. The Licensee and the adult helper denied the allegation. The Reporting Party is adamant that the incident occurred with child #1 at the park due to a lack of supervision by the Licensee and the adult helper. The day care children and day care parents did not disclose anything inappropriate at the facility or with the Licensee or adult helper. The parents stated they do not have any issues or concerns with the facility or the adult helper. The Licensee and the adult helper denied the allegation that the incidents occurred due to a lack of supervision. The Reporting Party is adamant that the incidents occurred due to a lack of supervision. The Licensee admits that the injury of 12/23/2021, to child #1 occurred at the day care but denies child #1 sustained an injury on 11/03/2021 while at the park.

Based on the interviews and information obtained, there was conflicting evidence to corroborate the allegations that “Staff failed to adequately supervise day-care child resulting in injuries.” Therefore, the allegation is found to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of the report along with the appeal rights were provided to the Licensee, Lisa Brown.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2