393610469-5-3-2023-53-CC-BENN-CRRLRB-20230512085852

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393610469
Report Date: 05/03/2023
Date Signed: 05/03/2023 11:13:05 AM

Unsubstantiated

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
03/20/2023 and conducted by Evaluator Elvira Sierra

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20230320130021

FACILITY NAME:	CAMARILLO, IDALIA		FACILITY NUMBER:	393610469
ADMINISTRATOR:	CAMARILLO, IDALIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 922-4993
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95209
CAPACITY:	14	CENSUS: 9	DATE:	05/03/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Idalia Camarillo		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Personal Rights-Provider speaks inappropriately to day care child
Personal Rights-Provider uses inappropriate discipline practices with day care children

INVESTIGATION FINDINGS:

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On 05/03/23, Licensing Program Analyst (LPA) Elvira Sierra met with Licensee, Idalia Camarillo to provide the finding for the above allegations. Upon arrival, present in the home were 9 children and two staff.

It was alleged that provider speaks inappropriately to day care child and provider uses inappropriate discipline practices with day care children. Throughout the investigation LPA observed the care and supervision of children, conducted interviews with staff, daycare children, parents and obtained pertaining information. Day care children who were interviewed did not disclose that provider speaks to them inappropriately or disclosed any physical abuse by the provider. Provider denied the allegations and stated that she uses redirection and time out as a discipline policy. Provider stated that time out consists of sitting the child in a chair for no more than 5 minutes according to the age of the child. LPA also obtained a copy of the police report from the Stockton Police Department.

Report continues on subsuquent page 809C--

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

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 53-CC-20230320130021

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: CAMARILLO, IDALIA	FACILITY NUMBER: 393610469
	VISIT DATE: 05/03/2023

NARRATIVE

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Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegations may have happened (or are valid), there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the findings are UNSUBSTANTIATED.

An exit interview was conducted in which this report and Appeal of Rights were reviewed and provided to the Licensee, Idalia Camarillo. Notice of Site Visit posted and must remain posted for 30 days.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC9099 (FAS) - (06/04)

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