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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004575
Report Date: 08/12/2021
Date Signed: 08/12/2021 05:08:01 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/09/2021 and conducted by Evaluator Marie Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20210609150305
FACILITY NAME:ESPINOZA, YADIRAFACILITY NUMBER:
414004575
ADMINISTRATOR:ESPINOZA, YADIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 315-4277
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:14CENSUS: 7DATE:
08/12/2021
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Yadira EspinozaTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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- Licensee encouraging a child to hit other children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marie Rodriguez conducted an unannounced inspection to deliver findings and close complaint. LPA met with Licensee Yadira Espinoza and explained purpose of visit. Licensee had six children in care (two infants and one preschool child and her three minor children). A seventh child arrived shortly after LPA's arrival.

During the course of the investigation, interviews were conducted and pertinent documents and other evidence received were reviewed. Based on evidence received, LPA did not see an instance where the Licensee encouraged a child to hit other children in care.

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 closed as UNSUBSTANTIATED.

This report was reviewed and discussed with Licensee Yadira Espinoza. A copy of report was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
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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