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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434409566
Report Date: NO Visit Data Available
Date Signed: 05/17/2023 09:48:12 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
and conducted by Evaluator Melvin S Matos
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230223083808
FACILITY NAME:RENO, MICHELLEFACILITY NUMBER:
434409566
ADMINISTRATOR:RENO, MICHELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 398-0661
CITY:SAN JOSESTATE: CAZIP CODE:
95136
CAPACITY:14CENSUS: 7DATE:
UNANNOUNCEDTIME BEGAN:
MET WITH:Michelle RenoTIME COMPLETED:
ALLEGATION(S):
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Day care child sustained unexplained bruises while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mel Matos conducted an unannounced follow-up complaint investigation and met with Michelle Reno, Licensee. Purpose of today's follow up complaint investigation: deliver investigation findings. The investigation of the complaint allegation listed above was conducted by LPA Matos. Based on interviews, record reviews, observations, and evidence gathered during the investigation process, it is concluded that although the allegation noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.

A Notice of Site Visit was provided to Licensee, Michelle Reno, and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:

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

DATE:
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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