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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500171
Report Date: 10/19/2021
Date Signed: 10/19/2021 11:45:20 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
07/23/2021 and conducted by Evaluator Christopher Jackson
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20210723143711
FACILITY NAME:GONZALEZ, MA NATIVIDADFACILITY NUMBER:
394500171
ADMINISTRATOR:GARCIA, NATIVIDADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 642-3525
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:14CENSUS: 7DATE:
10/19/2021
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Ma Natividad GonzalezTIME COMPLETED:
11:55 AM
ALLEGATION(S):
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Allegation: Licensee is operating over capacity.
Licensee does not provide adequate supervision.
Licensee transports daycare children in an unsafe manner.
Licensee speak inappropriately to daycare children.
Licensee did not follow proper Covid-19 protocols.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christopher Jackson met with Licensee, Ma Natividad Gonzalez to deliver the findings of the complaint investigation regarding the above allegations.

During the course of the investigation, LPA Hunter conducted interviews, and obtained information pertaining to allegations. It was alleged that the licensee was operating over capacity. Interviews conducted did not corroborate with the allegation. It was also alleged that the licensee does not provide adequate supervision and transports daycare children in an unsafe manner. Interviews conducted revealed that although the Licensee takes children on field trips that children are supervised and have proper safety restraints.

Report continues on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) 926-0269
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
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-20210723143711
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: GONZALEZ, MA NATIVIDAD
FACILITY NUMBER: 394500171
VISIT DATE: 10/19/2021
NARRATIVE
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It was alleged that the Licensee speaks inappropriately to day care children. Although the licensee has to talk to children to redirect them, interviews conducted did not corroborate the conversations were inappropriate. Lastly, it was alleged that the Licensee did not follow proper COVID19 protocols. Interviews revealed that if there is an exposure, parents are notified, and the necessary steps are taken. LPA discussed COVID19 guidelines and Public Health safety protocols with the Licensee.

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 is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the finding is UNSUBSTANTIATED.

Exit interview was conducted. Appeal rights were printed and provided. Notice of Site Visit was provided and should remain posted for 30 days.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) 926-0269
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2