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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093615153
Report Date: 02/02/2023
Date Signed: 02/02/2023 12:51:22 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/15/2022 and conducted by Evaluator Soleil Marx
COMPLAINT CONTROL NUMBER: 03-CC-20221115155000
FACILITY NAME:RAMIREZ, NORMAFACILITY NUMBER:
093615153
ADMINISTRATOR:RAMIREZ, NORMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 307-8383
CITY:SOUTH LAKE TAHOESTATE: CAZIP CODE:
96150
CAPACITY:14CENSUS: 4DATE:
02/02/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Norma RamirezTIME COMPLETED:
01:05 PM
ALLEGATION(S):
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Licensee not providing adequate food service to children in care.
Licensee is asking children inappropriate questions.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Soleil Marx and Arianna Manabat met with Licensee Norma Ramirez for the purpose of a complaint inspection to deliver findings. It was alleged that the Licensee is not providing adequate food service to children in care and the Licensee is asking children inappropriate questions.

Throughout the course of the investigation, LPAs conducted interviews, performed record review, and made observations. LPAs observed a facility menu and an adequate amount of food for children in care. Based on observations, record review, and parent interviews, evidence did not support the allegation that the Licensee is not providing adequate food service to children in care.

Parent interviews did not reveal any evidence to support the allegation that the Licensee is asking children inappropriate questions.

Report continued on 9099-C.......
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 584-3508
LICENSING EVALUATOR NAME: Soleil MarxTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
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 03-CC-20221115155000
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: RAMIREZ, NORMA
FACILITY NUMBER: 093615153
VISIT DATE: 02/02/2023
NARRATIVE
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Although the alleged violations may have happened or are valid, the preponderance of evidence standard has not been met to fully prove or disprove that they did or did not occur, therefore, they are unsubstantiated.

An exit interview was conducted, and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.
SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 584-3508
LICENSING EVALUATOR NAME: Soleil MarxTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2