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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408756
Report Date: 04/26/2022
Date Signed: 04/26/2022 04:28:06 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/18/2022 and conducted by Evaluator Monica Mathur
COMPLAINT CONTROL NUMBER: 02-CC-20220418163218
FACILITY NAME:FARFAN, ALBALUZFACILITY NUMBER:
073408756
ADMINISTRATOR:FARFAN, ALBALUZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 384-9737
CITY:PITTSURGSTATE: CAZIP CODE:
94565
CAPACITY:14CENSUS: 0DATE:
04/26/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Albaluz FarfanTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Ratio - staff member caring for up to 8 preschoolers children alone
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/26/22 at 11:30 am Licensing Program Analysts (LPAs) Monica Mathur and Christina Watts conducted an unannounced Complaint Investigation at Albaluz Farfan's family child care home. No one answered the door or no one was present at home. LPA called Licensee Albaluz who returned 15 minutes later. She stated due to a recent unusual incident, the day care is temporarily closed until further notice. Property landlord took out a restraining order against an adult still living in the home. Licensee moved out of the home and does not have access to files. Licensee stated she is working at a childcare Center nearby owned by the landlord. LPAs went to the Center and conducted interviews with Licensee and few staff that worked at the family home and now work at the Center also. Complainant states supervision was provided to 8 children alone without any aide. Based on the interviews and information obtained, the allegation is UNSUBSTANTIATED which means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No Deficiency has been cited for this allegation. Exit interview conducted with Licensee, Albaluz Farfan.
A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
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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