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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393621368
Report Date: 04/04/2022
Date Signed: 04/04/2022 11:30:49 AM

Substantiated


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
10/04/2021 and conducted by Evaluator Chayntel Hunter
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20211004152510
FACILITY NAME:RUIZ, TRICIAFACILITY NUMBER:
393621368
ADMINISTRATOR:RUIZ, TRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 394-4302
CITY:LATHROPSTATE: CAZIP CODE:
95330
CAPACITY:14CENSUS: 11DATE:
04/04/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Licensee, Tricia RuizTIME COMPLETED:
11:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not provide safe sleeping accommodations for children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 4, 2022 Licensing Program Analyst (LPA) Chayntel Hunter and Licensing Program Manager (LPM) Justin Denton met with the Licensee, Tricia Ruiz to deliver the findings for the above complaint allegation. It was alleged that the Licensee did not provide safe sleeping accommodations which resulted in Child #1 sustaining facial injuries which required medical treatment. Investigator Martinez from the Department’s investigation Branch conducted the investigation in corroboration with the San Joaquin County Sheriff’s Office.

During interviews the Licensee explained how she believed child #1 sustained facial injuries during nap time at the facility. The Licensee said on 09/28/2022 at about 12:30 pm child #1 and #2 were put down for naps in separate play pens which had been placed side by side, in the same room. At about 1:00 pm she and her assistants heard a cry from the nap room.

Report continues on 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2022
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 5
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
10/04/2021 and conducted by Evaluator Chayntel Hunter
COMPLAINT CONTROL NUMBER: 53-CC-20211004152510

FACILITY NAME:RUIZ, TRICIAFACILITY NUMBER:
393621368
ADMINISTRATOR:RUIZ, TRICIAFACILITY TYPE:
810
ADDRESS:521 GRAPEVINE PLACETELEPHONE:
(408) 394-4302
CITY:LATHROPSTATE: CAZIP CODE:
95330
CAPACITY:14CENSUS: 11DATE:
04/04/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Licensee, Tricia RuizTIME COMPLETED:
11:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child sustained unexplained injuries while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 4, 2022 Licensing Program Analyst (LPA) Chayntel Hunter and Licensing Program Manager (LPM) Justin Denton met with the Licensee, Tricia Ruiz to deliver the findings for the above complaint allegation. It was alleged that child #1 sustained unexplained facial injuries while in care at the facility. Investigator Martinez from the Department’s investigation Branch (IB) conducted the investigation in corroboration with the San Joaquin County Sheriff’s Office.

During interviews the Licensee explained how she believed child #1 sustained facial injuries during nap time at the facility. The Licensee said on 09/28/2022 at about 12:30 pm child #1 and #2 were put down for naps in separate play pens which had been placed side by side, in the same room. At about 1:00 pm she and her assistants heard a cry from the nap room. The Licensee stated her assistant went to immediately check on the children and found Child #2 in Child #1’s play pen.

Report continues on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 53-CC-20211004152510
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: RUIZ, TRICIA
FACILITY NUMBER: 393621368
VISIT DATE: 04/04/2022
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
Licensee stated Child #1 was crying and she observed bruising on Child #1’s face. Licensee deduced that Child #2 climbed into child #1’s playpen to retrieve child #2’s blanket which was in child #1’s playpen and in the process stepped on Child #1’s face. Child #2 was wearing shoes. The Licensee stated she believed Child #2 unplugged the monitor in the nap room. Investigator Martinez also obtained a medical report and police report. The information obtained from the Licensee and her staff was inconsistent from that obtained from the medical report. The medical report indicated that Child #1’s injuries were suspicious and inconsistent from the explanation provided by the licensee. The evidence provided was not conclusive in proving Child #1’s injuries were non-accidental or accidental.

Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding is UNSUBSTANTIATED. Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 53-CC-20211004152510
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: RUIZ, TRICIA
FACILITY NUMBER: 393621368
VISIT DATE: 04/04/2022
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
The Licensee stated her assistant went to immediately check on the children and found Child #2 in Child #1’s play pen. Licensee stated Child #1 was crying and she observed bruising on Child #1’s face. Licensee deduced that Child #2 climbed into child #1’s playpen to retrieve child #2’s blanket which was in child #1’s playpen and in the process stepped on Child #1’s face. Child #2 was wearing shoes. Licensee stated she checked the video monitor and observed a black screen. The Licensee stated she believed Child #2 unplugged the video monitor in the nap room. Placing play pens up against each other as the Licensee did provided the opportunity for Child #2 to climb into Child #1’s play pen, which created an unsafe sleeping environment that resulted in Child #1 getting injured. In addition, there was a video monitor cord accessible to children. Although no children were hurt as a result of the accessible cord, it still presented a choking hazard.

Based on the placement of the play pens and the accessible video monitor cord it was determined that the licensee did not provide safe napping accommodations for children. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

LPA Hunter informed Licensee that this report dated April 4, 2022 document 9099D Type A citation(s) which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA Hunter informed the licensee to provide a copy of this licensing report dated April 4, 2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with the Licensee. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 53-CC-20211004152510
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: RUIZ, TRICIA
FACILITY NUMBER: 393621368
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/05/2022
Section Cited
CCR
102423(a)(2)
1
2
3
4
5
6
7
Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived... These rights include... (2) To receive safe, healthful, and comfortable accommodations... This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee will ensure there is sufficient space between play pens, and will ensure the video monitor cord is secured.
8
9
10
11
12
13
14
Based on interviews conducted and observations, it was determined that the Licensee did not provide safe accommodations, based on the placement of the play pens and accessible video monitor cord. This is an immediate health and safety risk to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5