<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344500085
Report Date: 12/22/2020
Date Signed: 12/22/2020 05:30:10 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/07/2020 and conducted by Evaluator Marissa Soto
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20200807113453
FACILITY NAME:MENDOZA, ALMAFACILITY NUMBER:
344500085
ADMINISTRATOR:MENDOZA, ALMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 247-0626
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:14CENSUS: 2DATE:
12/22/2020
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Alma MendozaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child(ren) are not being fed while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Alma Mendoza is Spanish speaking and Licensing Program Analyst (LPA) Marissa Soto spoke with Alma Mendoza in Spanish and have translated the conversation to English below.
Due to the COVID-19 pandemic Licensing Program Analyst (LPA) Marissa Soto conducted a Tele-Visit via Google Duo with Licensee, Alma Mendoza on 12/22/2020 at 2:00pm in lieu of conducting a site inspection regarding the above complaint allegation. Facility is still open during the COVID-19 pandemic, and todays census consisted of 2 children (Ages: 3 year old and a 7 year old) supervised by Licensee. Licensee took LPA on virtual tour to each room that children have access to, including the kitchen. The purpose of the tele-visit was to inform the Licensee of the findings for the above complaint allegations.
It was alleged Child(ren) are not being fed while in care. During the investigation, LPA toured, made observations, and interviews were conducted with Licensee. LPA Soto interviewed three adults and two out of the three adults did not provide any corroboration or evidence to support the allegation. LPA Soto interviewed 3 child and the children did not provide any corroboration or evidence that could support the allegations. LPA obtained reports from the Bean Stalk food program that Licensee is a part of, however the reports did not provide any corroboration or evidence that could support the allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2020
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 2
Control Number 53-CC-20200807113453
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: MENDOZA, ALMA
FACILITY NUMBER: 344500085
VISIT DATE: 12/22/2020
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 the information gathered throughout the course of the investigation there was not a preponderance of evidence to prove or dismiss the allegation. This complaint has been determined to be UNSUBSTANTIATED: meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

Exit interview conducted and appeal rights were discussed. A copy of this report, Notice of Site Visit, and appeal rights were emailed to the Licensee. Hard copy of the report with signature will be on file.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2