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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376625232
Report Date: 06/15/2022
Date Signed: 06/15/2022 02:43:38 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
04/14/2022 and conducted by Evaluator Tyra Block
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220414130519
FACILITY NAME:ROMERO, AMBRIA FAMILY CHILD CAREFACILITY NUMBER:
376625232
ADMINISTRATOR:AMBRIA ROMEROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 450-4580
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY:14CENSUS: 11DATE:
06/15/2022
UNANNOUNCEDTIME BEGAN:
01:44 PM
MET WITH:Ambria RomeroTIME COMPLETED:
02:31 PM
ALLEGATION(S):
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Licensee inappropriately handled a child in care (Violation of Personal Rights)
INVESTIGATION FINDINGS:
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On 6/15/22, Licensing Program Analyst (LPA), Tyra Block made an unannounced complaint visit for the complaint received on 4/14/22 for the purpose of delivering findings on the above referenced allegation. Present at the faciity with Mrs. Romero were 11 children (3 infants) and 2 helpers. The facility was within ratio and capacity. All adults had criminal background check clearances and were associated to the facility.
LPA interviewed parents, former staff, and current staff. Based on the information obtained during interviews and observations it is determined that the allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1). A type A deficiency is being cited on the attached LIC 9099D. The Notice of Site Visit was provided, licensee is advised it must be posted for 30 days. An exit interview was conducted with Mrs. Romero.
Upon Receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 ws provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2022
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 51-CC-20220414130519
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: ROMERO, AMBRIA FAMILY CHILD CARE
FACILITY NUMBER: 376625232
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/16/2022
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, but are not limited to, the following:To be free from corporal or unusual punishment...infliction of pain, humiliation, intimidation...or other actions of a punitive nature, including, but not limited to: interference with...sleeping....
This requirement was not met as evidenced by:
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Licensee stated she will respect children’s needs and personal rights at the time to include quiet activities if a child chooses not to nap.
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Based on the information obtained during interviews and observations Mrs. Romero inappropriatley handled a child during naptime violating their personal rights. This poses an immediate risks to the health and safety of children in care.
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This 9099-D has been amended to revise the Plan of Correction date and Plan of Correction.
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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: Tyra Block
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2