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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415836
Report Date: 09/21/2022
Date Signed: 09/21/2022 11:13:27 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/29/2022 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20220829082302
FACILITY NAME:QUINTERO, LIZ ANDREAFACILITY NUMBER:
434415836
ADMINISTRATOR:QUINTERO, LIZ ANDREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 575-1774
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:14CENSUS: 10DATE:
09/21/2022
UNANNOUNCEDTIME BEGAN:
09:23 AM
MET WITH:Liz QuinteroTIME COMPLETED:
11:25 AM
ALLEGATION(S):
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Staff restrain children in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Marilou Monico, met with Licensee, Liz Quintero, for a follow-up complaint inspection and to deliver investigation findings. Based on the information gathered during the course of the investigation, it was determined that staff restrain children in highchairs as a form of discipline and place children in highchairs during activities. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), is being cited on the attached LIC 9099D.

LPA discussed the requirements of Assembly Bill (AB) 633 to Licensee and provided the AB 633 fact sheet and a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) and Licensee understands the requirements. Upon receipt, licensees 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.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/29/2022 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20220829082302

FACILITY NAME:QUINTERO, LIZ ANDREAFACILITY NUMBER:
434415836
ADMINISTRATOR:QUINTERO, LIZ ANDREAFACILITY TYPE:
810
ADDRESS:915 S. STELLING ROADTELEPHONE:
(650) 575-1774
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:14CENSUS: 10DATE:
09/21/2022
UNANNOUNCEDTIME BEGAN:
09:23 AM
MET WITH:Liz QuinteroTIME COMPLETED:
11:25 AM
ALLEGATION(S):
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9
Staff do not provide appropriate supervision to children in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Marilou Monico, met with Licensee, Liz Quintero, for a follow-up complaint inspection and to deliver investigation findings.

Based on the information gathered during the course of the investigation, although the allegation, Staff do not provide appropriate supervision to children in care, may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 07-CC-20220829082302
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: QUINTERO, LIZ ANDREA
FACILITY NUMBER: 434415836
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/22/2022
Section Cited
CCR
102423(a)(4)
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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 corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.
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Licensee shall immediately cease to restrain children in highchairs. Licensee states she will submit a written plan of correction by 09/22/22.
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This requirement is not met as evidenced by:
Staff restrain children in highchairs as a form of discipline and place children in highchairs during activities. This pose an immediate risk to the health, safety, and personal rights of children in care.
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Upon receipt, licensees 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.
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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: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3