343623875-4-30-2025-03-CC-ABLI-DGQNCV-20250516102120

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343623875
Report Date: 04/30/2025
Date Signed: 04/30/2025 01:57:35 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/26/2025 and conducted by Evaluator Fabian Schwartz

COMPLAINT CONTROL NUMBER: 03-CC-20250326162111

FACILITY NAME:	4TH R - PASO VERDE		FACILITY NUMBER:	343623875
ADMINISTRATOR:	JESSICA GALINDO		FACILITY TYPE:	840
ADDRESS:	5240 PV SCHOLARS LANE		TELEPHONE:	(916) 203-2716
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95835
CAPACITY:	150	CENSUS: 0	DATE:	04/30/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Jessica Galindo		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff are not adequately supervising day care children in care. - Unsubstantiated

Licensee is not ensuring that day care child is provided a safe environment while in care. - Unsubstantiated

Staff are retaliating against day care child in care. - Unsubstantiated

Staff are emotionally abusing day care child in care. - Unsubstantiated

Staff did not report an incident involving day care child as necessary. - Unsubstantiated

INVESTIGATION FINDINGS:

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On Wednesday 30 April 2025, at approximately 1:30pm Licensing Program Analyst (LPA) Fabian Schwartz met with Program Coordinator Jessica Galindo to deliver the findings of a complaint investigation. At time of inspection there were 0 children in care at facility.

During complaint investigation, LPA made observations, gathered documents, and conducted interviews. Throughout investigation, there was insufficient evidence to support allegations listed above.

Although the allegations may have happened, there is not a preponderance of evidence to prove the allegations; therefore, the allegations are unsubstantiated. Exit interview was conducted and report was reviewed with Program Coordinator Jessica Galindo. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

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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