414004652-10-12-2021-05-CC-CINO-C7YML4-20211020094141

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414004652
Report Date: 10/12/2021
Date Signed: 10/12/2021 10:07:03 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
05/14/2021 and conducted by Evaluator Leslit Tapia-Mandujano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20210514105101

FACILITY NAME:	VALENCIA, KARLA G.		FACILITY NUMBER:	414004652
ADMINISTRATOR:	VALENCIA, KARLA G.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 921-8049
CITY:	EAST PALO ALTO	STATE: CA	ZIP CODE:	94303
CAPACITY:	14	CENSUS: 11	DATE:	10/12/2021
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Karla Valencia		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Adult in home inappropriately touched child in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced subsequent complaint inspection to discuss the above allegation and met with licensee, Karla Valencia. Present during the inspection was licensee, staff, and 11 children (3 infants and 8 preschool age). Investigations Bureau (IB) Investigator, Victoria McIntosh, conducted the investigation.

During the course of the investigation, IB Investigator McIntosh conducted interviews with Staff, Guardians, Children, obtained Police Reports and other supportive information.

Although the allegation of Adult in home inappropriately touched child in care may have happened or may be valid, based on the information obtained by IB Investigator McIntosh, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is found to be “unsubstantiated.”

An exit interview was conducted with licensee, Karla Valencia. Appeal Rights were given and explained to licensee. A Notice of Site Visit and Copy of report will be emailed to licensee at GROWINGANDLEARNING@HOTMAIL.COM. This report is public and can be reviewed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: (650) 350-2554
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021

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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