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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376628994
Report Date: 01/18/2024
Date Signed: 01/18/2024 05:15:24 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
08/07/2023 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20230807094011
FACILITY NAME:DIAZ, KARLA FAMILY CHILD CAREFACILITY NUMBER:
376628994
ADMINISTRATOR:KARLA DIAZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 934-2494
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:14CENSUS: DATE:
01/18/2024
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Karla DiazTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Adult(s) present in home without criminal record clearance.
INVESTIGATION FINDINGS:
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On 1/18/24 at 3:00pm, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the above allegations. LPA Castellon met with licensee Karla Diaz and discussed the purpose of the inspection. It was alleged that: Adult(s) present in home without criminal record clearance. During the course of the investigation, four unannounced inspections were conducted. Interviews were conducted with facility neighbors, facility staff, licensee's children, landlord, children in care and daycare parents. Lease agreement and videos submitted by the reporting party were reviewed. Documents (CA driver's license, home bills) were obtained and reviewed
Based on the investigation (licensee's admission), it was determined that Adult(s) present in home without criminal record clearance. Licensee's adult son has been present at the facility while daycare children present without required clearances. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. One (1) Type A deficiency under California Code of Regulations, Title 22, Division 12 & Chapter 3, is being cited on the attached LIC 9009D.
Exit interview conducted and report was reviewed with licensee. A copy of this report, along with Appeal Rights (LIC9058 03/22) was provided to licensee.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
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 20-CC-20230807094011
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: DIAZ, KARLA FAMILY CHILD CARE
FACILITY NUMBER: 376628994
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/18/2024
Section Cited
CCR
102370(d)(1)
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102370 Criminal Record Clearance (d) 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: (1) Obtain a California clearance or a criminal record exemption as required by the Department.
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Licensee Diaz will not permit her son Joaquin Diaz or any other uncleared adult to enter the facility during day-care hours or when day-care children are present. Licensee will submit a written declaration acknowledging that she understands the clearance requirement and that she will
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This requirement was not met as evidenced by the licensee's own admission that her adult son Joaquin Diaz has been present at the facility while children are present without required clearances. This poses an immediate threat to the health and safety of children in care.
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not permit uncleared adults to be present in the home during day-care hours.
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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: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC9099 (FAS) - (06/04)
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