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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103909806
Report Date: 03/27/2020
Date Signed: 04/02/2020 11:12:15 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/23/2020 and conducted by Evaluator Rene Mancinas
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20200123095240
FACILITY NAME:RODRIGUEZ, ANDREA FAMILY CHILD CAREFACILITY NUMBER:
103909806
ADMINISTRATOR:RODRIGUEZ, ANDREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 399-6160
CITY:SANGERSTATE: CAZIP CODE:
93657
CAPACITY:14CENSUS: 0DATE:
03/27/2020
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Andrea RodriguezTIME COMPLETED:
10:05 AM
ALLEGATION(S):
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1) Licensee uses inappropriate language in presence of children in care.
2) Licensee/staff did not meet the diapering needs of children in care.
3) Licensee transported children in unsafe manner.
INVESTIGATION FINDINGS:
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On 03/27/2020 Licensing Program Analyst (LPA) Rene Mancinas conducted a televisit via telephone due to COVID-19 related matters and as means of precaution. LPA contacted Licensee, Andrea Rodriguez, to inform of the findings regarding the above allegations.

During the course of the investigation, LPA reviewed facility records and interviewed facility staff and parents of children in care.

Allegation 1: Interviews did not reveal information to meet the pronderance of evidence standard.

Allegation 2: Licensee acknowledged an incident regarding diapering needs. Although, a child had a wet diaper, the information obtained did not rise to a level to determine that it was a risk to the health, safety, and/or personal rights of the child in care or that the licensee did not "meet" the diapering needs of that child.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene MancinasTELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2020
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 4
Control Number 04-CC-20200123095240
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RODRIGUEZ, ANDREA FAMILY CHILD CARE
FACILITY NUMBER: 103909806
VISIT DATE: 03/27/2020
NARRATIVE
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Allegation 3: Information obtained through interviews and review of evidence obtained, did not rise the issue to meet the preponderance of evidence standard. LPA determined licensee has sufficient car seats and booster seats for children in care. LPA also inspected vehicle and did not observe any obvious hazards or concerns related to the vehicle's conditions.

Due to the above and the information obtained throughout this investigation, the above allegations are UNSUBSTANTIATED, meaning that although the allegations could have happened, and/or are valid, the preponderance of evidence standard was not met.

Per California Code of Regulations Title 22 Division 12 Chapter 3, no deficiency is being cited. Notice of Site to be posted for 30 days.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene MancinasTELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 4