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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376627287
Report Date: 07/21/2022
Date Signed: 07/21/2022 09:05:27 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, 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
07/13/2022 and conducted by Evaluator Jennifer Lott
COMPLAINT CONTROL NUMBER: 51-CC-20220713102930
FACILITY NAME:SOMMERVILLE, JESSICA FAMILY CHILD CAREFACILITY NUMBER:
376627287
ADMINISTRATOR:JESSICA SOMMERVILLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 592-3935
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:14CENSUS: 7DATE:
07/21/2022
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Licensee, Jessica Sommerville TIME COMPLETED:
09:20 AM
ALLEGATION(S):
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Uncleared adult residing in the home
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Lott and IB Investigators, Thomas Smith, Ernestina Belluco and Annette Renquist conducted an unannounced complaint investigation visit regarding the above mentioned allegation. LPA/Investigator were greeted at the front door by Adult #1 (A1) and licensee, Jessica Sommerville and granted entry after identifying themselves and disclosing the purpose of their visit.

During today’s visit, LPA Lott and Investigator spoke with licensee and A1. A1 does not have a background clearance and based on A1’s own statements, admits they have been in the home on several occasions during day care hours. Since A1 was found to be in the home during day care hours, the preponderance of evidence standard has been met, therefore the above allegation is substantiated. Deficiencies are being cited per Title 22 regulations, Division 6, on the attached LIC 9099D. Additionally, civil penalties will also be assessed in the amount of $200 and noted on the attached LIC 421BG. An exit interview was conducted and the report was reviewed with the licensee. A notice of site visit was given and must be posted for 30 days.

Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
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
Control Number 51-CC-20220713102930
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: SOMMERVILLE, JESSICA FAMILY CHILD CARE
FACILITY NUMBER: 376627287
VISIT DATE: 07/21/2022
NARRATIVE
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Upon receipt, the Licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians newly enrolled at the facility during the next 12 months. The licensee shall also have parents complete and sign the Acknowledgement of Receipt of Licensing Report LIC 9224 (08/08) form. These signed forms will be made available to the Department upon request. LPA provided Licensee with the blank LIC 9224 form.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20220713102930
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: SOMMERVILLE, JESSICA FAMILY CHILD CARE
FACILITY NUMBER: 376627287
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/22/2022
Section Cited
CCR
102370(d)(1)
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Criminal Record Clearance - ..."All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility..."This requirement is not met as evidenced by:
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A1 has been removed from the facility and will not return during day care hours until a criminal background clearance is received.
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Based on LPA's observations, A1 was in the home during day care hours without a criminal background clearance.
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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: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3