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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376629559
Report Date: 03/04/2025
Date Signed: 03/04/2025 04:37:18 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
12/19/2024 and conducted by Evaluator Cindy Meier
COMPLAINT CONTROL NUMBER: 20-CC-20241219150743
FACILITY NAME:RODRIGUEZ PEREZ, MERCEDES FAMILY CHILD CAREFACILITY NUMBER:
376629559
ADMINISTRATOR:MERCEDES RODRIGUEZ PEREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 955-9747
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:14CENSUS: 1DATE:
03/04/2025
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Mercedes Rodriguez Perez TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Licensee gave child something the child was allergic to causing child to have an allergic reaction.
INVESTIGATION FINDINGS:
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On 3/4/2025 at 1:10 p.m. Licensing Program Analyst (LPA), Cindy Meier conducted an unannounced complaint inspection to deliver the findings for the above allegation. LPA met with Licensee, Mercedes Rodriguez Perez, and advised licensee of the purpose of the inspection and conducted a tour of the home. There was one (1) children and licensee present during the inspection. The LPA used Focus Language during the inspection which provided translation for the licensee.

During the course of the investigation, interviews were conducted with licensee, assistant, daycare parents and daycare children. Records obtained and reviewed by LPA included facility roster, children’s records, hospital reports, text messages and photographs.

Based on interviews conducted, licensee’s admission, review of electronic communication and medical records, it was determined that on June 20, 2024 and on December 17, 2024, the licensee served daycare child #4 (C4) meals containing a dairy product which caused C4 to suffer allergic reactions that required medical attention. According to C4’s parents, the licensee had been informed of the allergy at the time of
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
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 5
Control Number 20-CC-20241219150743
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: RODRIGUEZ PEREZ, MERCEDES FAMILY CHILD CARE
FACILITY NUMBER: 376629559
VISIT DATE: 03/04/2025
NARRATIVE
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enrollment and again during a meeting on June 22, 2024. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.

Per California Code of Regulations, (Title 22, division 12 & Chapter 3) one (1) Type A citation is being cited on the attached LIC 9099-D.

LPA Cindy Meier informed Licensee, Mercedes Rodriguez Perez that this report dated 3/4/25 document(s) (1) Type A citation(s) which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Cindy Meier informed the Licensee, Mercedes Rodriguez Perez to provide a copy of this licensing report dated 3/4/25 that documents Type A citation(s) 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.

Exit interview conducted and report was reviewed with the Licensee, Mercedes Rodriguez Perez.
A Notice of Site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 20-CC-20241219150743
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: RODRIGUEZ PEREZ, MERCEDES FAMILY CHILD CARE
FACILITY NUMBER: 376629559
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/04/2025
Section Cited
CCR
102423(a)(2)
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102423(a)(2) Personal Rights (a) Each child receiving services from a family childcare home shall have certain rights….These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations...

This requirement was not met as evidenced by:
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Licensee stated she will develop a plan to record/chart allergies and review the weekly menu making notes of foods that children cannot eat due to allergies. Licensee will submit plan to the San Diego Regional office by 03/11/25.

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Based on interviews conducted and records reviewed, the licensee did not comply with the above regulation, as the licensee served C4 meals, on multiple occasions, that contained a known allergen which resulted in allergic reactions that required medical attention which poses an immediate Health & 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: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
12/19/2024 and conducted by Evaluator Cindy Meier
COMPLAINT CONTROL NUMBER: 20-CC-20241219150743

FACILITY NAME:RODRIGUEZ PEREZ, MERCEDES FAMILY CHILD CAREFACILITY NUMBER:
376629559
ADMINISTRATOR:MERCEDES RODRIGUEZ PEREZFACILITY TYPE:
810
ADDRESS:2220 REO DRTELEPHONE:
(619) 955-9747
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:14CENSUS: DATE:
03/04/2025
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Mercedes Rodriguez Perez TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff left child in soiled diapers.
Childcare over ratio.
INVESTIGATION FINDINGS:
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On 3/4/2025 at 1:00 p.m. Licensing Program Analyst (LPA), Cindy Meier conducted an unannounced complaint inspection to deliver the findings for the above allegation. LPA met with Licensee, Mercedes Rodriguez Perez, and advised licensee of the purpose of the inspection and conducted a tour of the home. There was one (1) child and licensee present during the inspection. The LPA used Focus Language during the inspection which provided translation for the licensee.

During the course of the investigation, interviews were conducted with licensee, assistant, daycare parents and daycare children. Records obtained and reviewed by LPA included facility roster and text messages.

It was alleged that staff left daycare child #4 (C4) in soiled diapers on multiple unspecified dates. Both, licensee and licensee’s assistant denied the allegation, stating that the children’s diapers are checked often and are changed between four (4) to five (5) times each day and as needed. The licensee does not maintain a diapering log. Five (5) parents interviewed stated they believe the staff do an
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 20-CC-20241219150743
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: RODRIGUEZ PEREZ, MERCEDES FAMILY CHILD CARE
FACILITY NUMBER: 376629559
VISIT DATE: 03/04/2025
NARRATIVE
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excellent job, are pleased with the care their children receive and have never had concerns over diapering.

It was also alleged that the childcare operates over ratio, by caring for more infant children than are allowed. Both, licensee and licensee’s assistant denied ever operating out of ratio. On 12/20/24 during facility inspection, LPA observed two (2) staff caring for 11 daycare children of allowable age groups and within appropriate staff to child ratio. LPA reviewed a current facility roster and children’s schedule and did not identify any potential staffing ratio or age group conflicts. Five (5) parents interviewed stated they have not observed too many children in attendance.

Due to conflicting information obtained throughout the course of the investigation and no other witnesses to the alleged incidents, LPA was unable to determine whether or not the allegations occurred. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with the Licensee, Mercedes Rodriguez Perez.
A Notice of Site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5