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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393621915
Report Date: 06/22/2020
Date Signed: 06/23/2020 10:03:33 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
03/13/2020 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20200313134312

FACILITY NAME:MACIAS, MOLLYFACILITY NUMBER:
393621915
ADMINISTRATOR:MACIAS, MOLLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 951-7576
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:14CENSUS: 0DATE:
06/22/2020
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Molly MaciasTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee failing to prevent lice outbreak.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Gagandeep Singh conducted a tele inspection via Facetime. Due to COVID-19 precautions, the inspection was done as tele inspection. During today’s inspection, LPA interviewed the licensee. Per licensee, there were not children in care with hair lice. Per licensee, licensee keeps the facility and children clean to prevent any germs or infections. Per licensee, there were no incidents of hair lice at her day care. During the investigation, LPA interviewed random parents, and found that parents were not aware of any hair lice incident.

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 allegation is unsubstantiated. This report was reviewed with the licensee and a copy was provided through an email.


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2020
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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