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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376611757
Report Date: 02/03/2022
Date Signed: 02/03/2022 02:31:32 PM

Unsubstantiated


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
07/09/2021 and conducted by Evaluator Michael Morales-DeSilvestore
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20210709100105
FACILITY NAME:HUANG, XIAOPING FAMILY CHILD CAREFACILITY NUMBER:
376611757
ADMINISTRATOR:HUANG, XIAOPINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 587-1568
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:14CENSUS: 0DATE:
02/03/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Xiaoping HuangTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Questionable Death
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 2/3/22 Licensing Program Analyst Michael Morales-DeSilvestore made an unannounced complaint visit for the complaint received on 07/9/21 for the purpose of delivering findings on the above referenced allegation. LPA met with Licensee and her friend Andrea Chiu translated via telephone call. There were no children in care.

The complaint was investigated by the Department of Social Services Investigations Branch. Based on the information obtained by the Investigations Branch, there is not a preponderance of evidence to prove that the alleged violation occurred and the violation is found to be UNSUBSTANTIATED. Appeal Rights (1/16) were discussed and provided. Notice of Site Visit must be posted and will remain posted for 30 days. Signature at the bottom of this report confirms receipt.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestore
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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