393620487-8-19-2021-53-CC-BENN-C68RZ5-20210825132720

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393620487
Report Date: 08/19/2021
Date Signed: 08/19/2021 10:38:36 AM

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
07/19/2021 and conducted by Evaluator Amy Silva

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20210719145626

FACILITY NAME:	GARNICA, GRACIELA / TERRAZAS, MAXIMINO		FACILITY NUMBER:	393620487
ADMINISTRATOR:	GARNICA, G./ TERRAZAS, M.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 263-8926
CITY:	LODI	STATE: CA	ZIP CODE:	95240
CAPACITY:	14	CENSUS: 0	DATE:	08/19/2021
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Graciela Garnica		TIME COMPLETED:	10:40 AM

ALLEGATION(S):

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Personal Rights- Day Care child left in a dirty diaper

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Silva met with Licensee, Graciela Garnica to close a complaint investigation. It was alleged a Day Care child was left in a diaper with urine. The Department received a report that stated Licensee left child C1 in the same diaper all day and the diaper had urine in it. During the investigation, records were reviewed, and interviews were conducted with staff and parents. Through interviews, staff and parents stated that no children are left in the same diaper all day. It was also stated through interviews, that there are no concerns with the diaper changing process and children’s diapers are check at least three times per day and additionally as needed. Through interviews, LPA learned children are changed when their diaper is soiled. The information obtained during the investigation revealed inconsistencies and it could not be determined that Licensee left C1 in the same diaper all day.

Report continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Amy Silva	TELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021

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-20210719145626

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: GARNICA, GRACIELA / TERRAZAS, MAXIMINO	FACILITY NUMBER: 393620487
	VISIT DATE: 08/19/2021

NARRATIVE

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Based on the investigation and lack of information, the allegation was determined to be UNSUBSTANTIATED. An unsubstantiated finding means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore this complaint is unsubstantiated.

An exit interview was conducted. No deficiencies cited. A Notice of Site Visit was provided and posted during this inspection.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Amy Silva	TELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021

LIC9099 (FAS) - (06/04)

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