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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701520
Report Date: 05/04/2023
Date Signed: 05/04/2023 10:38:54 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 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
02/15/2023 and conducted by Evaluator Vicky Williamson
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20230215132452
FACILITY NAME:COZY CUBS 2 - INFANTFACILITY NUMBER:
376701520
ADMINISTRATOR:VIRGINIA ANDRADEFACILITY TYPE:
830
ADDRESS:4351 PARKS AVETELEPHONE:
(619) 460-6432
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY:8CENSUS: 5DATE:
05/04/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Virginia AndradeTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Facility staff did not adequately supervise day care child
INVESTIGATION FINDINGS:
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On 5/4/2023, at 9:15am, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced complaint inspection for the purpose of delivering findings regarding the above allegation. LPA met with Director, Virginia Andrade. During the inspection there were five (5) children present with two (2) staff members.

During the course of the investigation, interviews were conducted with the director, licensee representative, staff members and daycare parents. Facility sign in/ sign out sheets and staff records were also reviewed. It was alleged that staff are not adequately supervising daycare children. Director and staff denied the allegation and stated that the children at the facility are always supervised, although minor incidents happened due to children exploring. Based on conflicting information obtained, the allegation of facility staff did not adequately supervise a day care child has been determined to be unsubstantiated. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies cited.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023
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 4
Control Number 20-CC-20230215132452
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: COZY CUBS 2 - INFANT
FACILITY NUMBER: 376701520
VISIT DATE: 05/04/2023
NARRATIVE
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A copy of this report along with Appeals Rights were provided. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. An exit interview was conducted with Director, Virginia Andrade.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4