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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376629087
Report Date: 12/09/2022
Date Signed: 12/16/2022 09:15:34 AM

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
10/06/2022 and conducted by Evaluator Rajani Goudreau
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20221006163017
FACILITY NAME:GALVEZ, MICHELE FAMILY CHILDCAREFACILITY NUMBER:
376629087
ADMINISTRATOR:MICHELE GALVEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 703-5839
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:14CENSUS: 6DATE:
12/09/2022
UNANNOUNCEDTIME BEGAN:
04:36 PM
MET WITH:Michele Galvez TIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Licensee left children in the care and supervision of a minor
Licensee did not provide child with the appropriate equipment for sleeping
Licensee is caring for children for more than 24 hours
Licensee is providing care and supervision in off limit areas of the home
INVESTIGATION FINDINGS:
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This is an amended version of the original report created on 12/09/22.
On 12/09/22 at 4:36 p.m., Licensing Program Analyst (LPA), Rajani Goudreau arrived at the facility to conduct an unannounced complaint inspection for the purpose of delivering the findings to the above listed allegations. Upon arrival, LPA met with Licensee, Michele Galvez and proceeded to tour the facility. During this inspection there were six children in care; including two school age, one infant and three preschool age children.

On October 06, 2022, Community Care Licensing (CCL) received a complaint alleging licensee left children in the care and supervision of a minor, licensee did not provide child with appropriate equipment for sleeping, licensee is caring for children for more than 24 hours, licensee is providing care and supervision in off limit areas of the home. During an interview with licensee, licensee admitted to leaving minor child #1 (C1- see LIC811 confidential names list) alone with the daycare children on multiple occasions for an estimate of 10 minutes without adult supervision present.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2022
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 6
Control Number 20-CC-20221006163017
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: GALVEZ, MICHELE FAMILY CHILDCARE
FACILITY NUMBER: 376629087
VISIT DATE: 12/09/2022
NARRATIVE
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This is an amended version of the original report created on 12/09/2022.

Licensee stated she would leave the home in the mornings to conduct drop offs and leave C1 alone without adult supervision to care and supervise the daycare children. During an inspection on October 12, 2022, LPA observed a baby rocker located in the daycare area/living room of the home. Licensee confirmed to use the rocker on multiple occasions dates unknown for the infants in care during nap and awake times. Licensee confirmed to care for one family’s children; four siblings for longer than 24 hours on two separate occasions. Licensee submitted sign in and out sheets reflecting the children were in care from June 10th through the 12th, 2022 from 2:00 p.m. to 10:30 p.m. (56 hours), and August 23rd through the 24th from 10:23 a.m. to 4:46 p.m. (30 hours). Furthermore, licensee confirmed to supervise the daycare children in off-limit areas of the home. According to licensee, the children that were in care for 24 hours or longer were able to go in the off-limit areas of the home; including the kitchen and the three bedrooms of the home. Based on licensees’ admissions, observations and interviews conducted with parents and children in care, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, (Title 22, Division 12 & Chapter 3), is being cited on the attached LIC9099D and an immediate civil penalty of five hundred dollars ($500), is being assessed on the LIC 421IM. LIC421IM manually generated as unable to assess civil penalty on the LIC9099D page.

LPA, Rajani Goudreau informed Licensee, Michele Galvez that this report dated 12/09/22 documents two type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care. Also, LPA, Rajani Goudreau informed the Licensee, Michele Galvez to provide a copy of this licensing report dated 12/09/22 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LIC9213 - Notice of Site Visit was discussed and provided to licensee. LPA observed licensee post the LIC9213 near the front door, prior to exiting the facility. Exit interview conducted and report was reviewed with the Licensee, Michele Galvez.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 20-CC-20221006163017
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: GALVEZ, MICHELE FAMILY CHILDCARE
FACILITY NUMBER: 376629087
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/12/2022
Section Cited
CCR
102417(a)
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102417-Operation of a Family Child Care Home.(a) … When circumstances require the licensee to be...absent...the licensee shall arrange for a ...adult to...supervise the children during ...absence…This requirement was not met as evidenced by:
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Licensee stated she will watch the following video under ccld.childcarevideos.org; titled Supervising Children in Family Child Care and provide an outline of the video. Also, licensee stated she will provide a written plan to ensure
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Based on interviews conducted, the licensee did not comply with the section cited above as C1 has provided care & supervision to the daycare children alone, which poses an immediate health, safety or personal rights risk to the children in care.
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the children are always under supervision of an adult. Plan of correction is to be submitted to the department by: 12/12/2022.

Type A
12/12/2022
Section Cited
CCR
102423(a)(2)
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102423 Personal Rights. (a) - Each child ...shall have certain rights that shall not be waived... These rights include...: (2) - To receive safe, healthful..., furnishings, and equipment. This requirement was not met as evidenced by:
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LPA discussed & provided the prohibited items handout for FCCH. Licensee stated she will provide a written plan to ensure no prohibited items are used for the daycare. Also, licensee stated she will provide an outline of CCR -102425 - Infant Safe Sleep.
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Based on admission and observation, the licensee did not comply with the section cited above as an infant rocker was observed in the daycare and licensee admitted to using the rocker for the infants, which poses an immediate health, safety or personal rights risk to the children in care.
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Plan of correction is to be submitted to the department by:12/12/2022.



This is an amended version of the original report created on 12/09/22.
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: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 20-CC-20221006163017
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: GALVEZ, MICHELE FAMILY CHILDCARE
FACILITY NUMBER: 376629087
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/06/2023
Section Cited
HSC
1596.78(a)
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1596.78 - Family day care home. (a)-"Family day care home" means a home that regularly provides care…for periods of less than 24 hours per day… This requirement was not met as evidenced by:

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Licensee stated she will review Health and Safety section 1596.78 - Family day care home and provide an outline of the regulation. In addition, licensee will provide the schedules of the children currently enrolled in the daycare. Plan of correction is to be submitted to the department by: 01/06/2023.
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Based on licensee’s admission and file review, the licensee did not comply with the section cited above as licensee confirmed to care for one family’s children; four siblings for longer than 24 hours on two separate occasions, which poses a potential health, safety or personal rights risk to the children in care.
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This is an amended version of the original report created on 12/09/22.
Type B
01/06/2023
Section Cited
CCR
102416.3(a)(6)
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102416.3 - Alterations to Existing Buildings or Grounds. (a) - Prior to making… additions... family child care home…, the licensee shall notify the Department…,…: (6) - Any change from an area ...previously identified as "off limits" to an area where care and supervision will be provided... This requirement was not met as evidenced by:
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Licensee stated she will not conduct care and supervision in off limit areas of the home. Licensee stated she will review CCR 102416.3 - Alterations to Existing Buildings or Grounds and provide an outline of the regulation.
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Based on licensee’s admission, the licensee did not comply with the section cited above as licensee admitted to supervising the daycare children in the off-limit areas of the home, which poses a potential health, safety or personal rights risk to the children in care.
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Plan of correction is to be submitted to the department by: 01/06/2023. .
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: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 6
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
10/06/2022 and conducted by Evaluator Rajani Goudreau
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20221006163017

FACILITY NAME:GALVEZ, MICHELE FAMILY CHILDCAREFACILITY NUMBER:
376629087
ADMINISTRATOR:MICHELE GALVEZFACILITY TYPE:
810
ADDRESS:3047 BUENA VISTA AVENUETELEPHONE:
(619) 703-5839
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:14CENSUS: DATE:
12/09/2022
UNANNOUNCEDTIME BEGAN:
04:36 PM
MET WITH:Michele Galvez TIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Licensee did not adequately supervise children in care
Licensee did not ensure that child's diapering needs were met
Licensee did not safely transport children in a vehicle
Licensee did not maintain a comforatable temperature for children at all times
Licensee did not ensure child was adequately fed
Licensee did not ensure the home was clean and sanitary
INVESTIGATION FINDINGS:
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This is an amended version of the original report created on 12/09/22. On 12/09/22 at 4:36 p.m., Licensing Program Analyst (LPA), Rajani Goudreau arrived at the facility to conduct an unannounced complaint inspection. Upon arrival, LPA met with Licensee, Michele Galvez and observed six children in care.

Licensee denied the children are not adequately supervised. Licensee stated, the children in care are supervised at all times while in care. Licensee denied not ensuring the children’s diapering needs not being met. During an interview with licensee, licensee stated the children’s diapers are checked every 30 minutes and on a as needed basis. Licensee stated, if one child has a dirty diaper, all the children’s diapers are checked. Licensee denied to not safely transport children in a vehicle. According to licensee, during transportation all the children are placed in a safety restraint system or a car seat. Licensee denied to not maintain a comfortable temperature for the children at all times. Licensee indicated during transportation and during indoor activities she will ensure the temperature is comfortable based on the temperature outside. Licensee denied not ensuring a child was adequately fed. Licensee indicated she follows the feeding plan instructed by the parents.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 20-CC-20221006163017
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: GALVEZ, MICHELE FAMILY CHILDCARE
FACILITY NUMBER: 376629087
VISIT DATE: 12/09/2022
NARRATIVE
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According to licensee, Licensee stated all the children in care are adequately fed. Licensee denied the home not being clean or sanitary. Licensee stated she is always cleaning and sanitizing the daycare throughout the day. Based on observations on October 12, 2022, the home was observed to be orderly. During interviews with parents, no concerns were disclosed regarding the care provided. Based on interviews conducted and observations made there was conflicting information and a lack of evidence obtained to support the above allegations. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

No deficiencies issued during today's inspection. Exit interview conducted with Licensee, Michele Galvez.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 6