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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 065406112
Report Date: 02/06/2024
Date Signed: 02/07/2024 04:19:12 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/09/2023 and conducted by Evaluator Laura Chavez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20231109132539
FACILITY NAME:CERVANTES, PATRICIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
065406112
ADMINISTRATOR:CERVANTES, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 908-2043
CITY:WILLIAMSSTATE: CAZIP CODE:
95987
CAPACITY:14CENSUS: 8DATE:
02/06/2024
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Patricia CervantesTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Licensee hit child in care.
INVESTIGATION FINDINGS:
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On 2/6/2024, at 12:10pm, Licensing Program Analyst (LPA) Laura Chavez conducted an unannounced follow-up complaint inspection to the facility and met with Licensee Patricia Cervantes. It was alleged the licensee hit a child in care, specifically, a child disclosed the licensee hit them with her hand. The licensee denied the allegation and stated she had never hit a child in her care.

Interviews conducted on 11/16/2023 with Child #1 – Child #2 between 12:11pm and 12:17pm were unable to say or articulate that the licensee hit them.

Interviews conducted on 11/20/2023 with Parents #1, #3, #4, and #5 between 3:08pm - 4:21pm and on 2/1/2024 with Parents #7, #8, and #9 denied having knowledge of their children or any child in care being hit by the licensee.

REPORT CONTINUED: SEE LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
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 2
Control Number 13-CC-20231109132539
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: CERVANTES, PATRICIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 065406112
VISIT DATE: 02/06/2024
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated.

An exit interview was conducted, and the report was reviewed with Licensee Patricia Cervantes. Appeal rights were provided, a Notice of Site Visit was given, and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
LIC9099 (FAS) - (06/04)
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