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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376619037
Report Date: 09/01/2021
Date Signed: 09/01/2021 04:54:06 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
07/12/2021 and conducted by Evaluator Dana Stevens
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20210712103132
FACILITY NAME:MARTINEZ, SUSANA FAMILY CHILD CAREFACILITY NUMBER:
376619037
ADMINISTRATOR:SUSANA MARTINEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 347-0402
CITY:BONITASTATE: CAZIP CODE:
91902
CAPACITY:14CENSUS: 7DATE:
09/01/2021
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Susana MartinezTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff withheld food from daycare child.
INVESTIGATION FINDINGS:
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On 09/01/2021 at 3:45 PM Licensing Program Analyst (LPA) Dana Stevens conducted an unannounced complaint inspection. LPA met with Susana Martinez to deliver complaint findings on the above allegation.

This agency has investigated the complaint alleging that Staff withheld food from daycare child. During interviews Licensee admitted that she has on occasion withheld snacks from children as consequence for behavioral issues. Licensee stated that because she feeds the children two meals a day with large portions and offers additional servings, she believes the children are well fed and considers snacks to be an "extra treat”.Based upon Licensees own admission this allegation is deemed Substantiated.

California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 9099-D.

An exit interview was conducted with the licensee. The licensee was provided a copy of this report and appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. Notice of Site Visit must be posted for 30 days.



Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 20-CC-20210712103132
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: MARTINEZ, SUSANA FAMILY CHILD CARE
FACILITY NUMBER: 376619037
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/01/2021
Section Cited
CCR
102423(a)(4)
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102423 (a)(4) Personal Rights Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include…to be free from… actions of a punitive nature, including, but not limited to:… interference with eating…
This requirement was not met as evidenced by,
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Licensee will review informational video on Children’s Personal Rights at the department website: ccld.childcarevideos.org, and submit a written summary to LPA by 10/01/2021 that includes how she will train staff.
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Based on Licensee's admission she occasionally withheld snacks for punitive reasons which poses a potential 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: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC9099 (FAS) - (06/04)
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