343621823-4-18-2023-03-CC-ABLI-CRNPZW-20230509114609

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343621823
Report Date: 04/18/2023
Date Signed: 04/18/2023 08:51:17 AM

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
03/23/2023 and conducted by Evaluator Michelle Pascual

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20230323083631

FACILITY NAME:	VALENCIA, EMILIA		FACILITY NUMBER:	343621823
ADMINISTRATOR:	VALENCIA, EMILIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 648-1661
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95833
CAPACITY:	14	CENSUS: 5	DATE:	04/18/2023
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Emilia Valencia		TIME COMPLETED:	09:15 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights- Child left in soiled clothes

Supervision- child left unattended during school drop off

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On April 18, 2023 at approximately 08:15am, Licensing Program Analyst (LPA) Pascual met with Licencee Emilia Valencia to deliver complaint findings for the allegations mentioned above. LPA observed 5 children in care being supervised by the licensee and assistant.

It was alleged that a day care child was left in soiled clothing and dropped off at a local school without supervision. Through interviews with the licensee, the assistant, a daycare child and staff at the local school, as well as the Reporting Party, LPA Pascual has found that the child did have soiled clothes, but there is not sufficient enough evidence to prove that this occurred while the child was in care. Further, when LPA Pascual interviewed the staff at the local school, it was found the child was dropped off before the school officially opened, but office staff were present and the child's care was transferred to the school, when the staff allowed the child to wait inside the office until breakfast time.

Cont on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Michelle Pascual	TELEPHONE: (916) 594-3812
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2023

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-20230323083631

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: VALENCIA, EMILIA	FACILITY NUMBER: 343621823
	VISIT DATE: 04/18/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Based on all the information obtained, LPA Pascual has determined the complaint to be UNSUBSTANTIATED, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove it.

An exit interview was conducted and a Notice of site visit and appeal rights were assessed. The Notice of site visit shall remain posted for 30 days for guardian/parental review.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Michelle Pascual	TELEPHONE: (916) 594-3812
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2