274408386-2-15-2023-07-CC-JSEA-CPHW5A-20230301155848

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 274408386
Report Date: 02/15/2023
Date Signed: 02/15/2023 02:26:32 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/09/2023 and conducted by Evaluator Elizabeth Larios

COMPLAINT CONTROL NUMBER: 07-CC-20230209152223

FACILITY NAME:	PRIETO, MONICA		FACILITY NUMBER:	274408386
ADMINISTRATOR:	PRIETO, MONICA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 784-1338
CITY:	SALINAS	STATE: CA	ZIP CODE:	93907
CAPACITY:	14	CENSUS: 12	DATE:	02/15/2023
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Monica Prieto		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Elizabeth Larios, met with Licensee, Monica Prieto, for unannounced 10-day complaint investigation. LPA was admitted into the facility by the Licensee spouse and mother upon arrival and explained purpose of visit.

LPA toured inside and outside of the family day care home and observed twelve (12) children in care (2 infants/10 toddlers) within regulation. On 2/7/2023 Licensee had (2 infants/11 toddlers) a total of thirdteen (13) children in care was not in complaince with regulation. Based on staff interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.

California Code of Regulations (Title 22, Division 12) are being cited on attached LIC9099-D.

====Report continues on LIC9099-C====

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth Larios	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023

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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Control Number 07-CC-20230209152223

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PRIETO, MONICA	FACILITY NUMBER: 274408386
	VISIT DATE: 02/15/2023

NARRATIVE

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LPA informed Licensee, Monica Prieto, that this report dated 2/15/2023 documents one Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care

Also, LPA informed the Licensee to provide a copy of this licensing report dated (2/2/2023) that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Licensee, Monica Prieto.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth Larios	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023

LIC9099 (FAS) - (06/04)

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Control Number 07-CC-20230209152223

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PRIETO, MONICA	FACILITY NUMBER: 274408386
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/15/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/16/2023 Section Cited CCR 102416.5	1 2 3 4 5 6 7	102416.5 Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.	1 2 3 4 5 6 7	Licensee will submit a schedule of children enrolled that demonstrates how ratio will be maintained each day by POC date.
	8 9 10 11 12 13 14	Upon arrival to the family child care home (FCCH), LPA observed 12 children in care (2 infants and 10 preschool-age), On 2/7/2023 Licensee had (2 infants/11 toddlers) a total of thirdteen (13) children in care which poses an immediate threat to the health, safety, and personal rights of children in care.	8 9 10 11 12 13 14	LIC9224 must be signed by all parents currently enrolled and submitted to Licensing by POC date. LIC9224 and LIC9099 must be provided to all future enrollments for the next 12 months and maintained in file.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth Larios	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023

LIC9099 (FAS) - (06/04)

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