440709561-7-17-2024-07-CC-JSEA-D92NDU-20240912102257

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 440709561
Report Date: 07/17/2024
Date Signed: 07/17/2024 03:06:41 PM

Substantiated

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
06/24/2024 and conducted by Evaluator Cortney Nelson

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20240624145849

FACILITY NAME:	PAJARO VALLEY CHILDREN'S CENTER - INFANTS		FACILITY NUMBER:	440709561
ADMINISTRATOR:	ROSA MENDOZA		FACILITY TYPE:	830
ADDRESS:	234 MONTECITO STREET		TELEPHONE:	(831) 722-3737
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	8	CENSUS: 2	DATE:	07/17/2024
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Rosa Mendoza		TIME COMPLETED:	03:16 PM

ALLEGATION(S):

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Director not present during hours of operation

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs), Cortney Nelson and Jennifer 'Jen' Beehler, met with the Site Director, Rosa Mendoza, and explained purpose of visit- to conduct staff interviews and deliver complaint investigation findings. Upon arrival, LPAs were admitted into the facility by the Site Director.

The complaint investigation comprised of document review, interviews, and observations regarding the above allegation. LPA Nelson conducted interviews with staff during prior visits and was advised that the director typically arrives around 10:00AM. Interviews conducted with parents advised that the director typically arrives between 9:00AM-10:00AM, however recently is now attending from open to close. Review of documents for sign-in/out of a child related to the director indicates arrival time after the faciltiy has opened.
**Report continues on LIC9099-C**

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024

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 6

Control Number 07-CC-20240624145849

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PAJARO VALLEY CHILDREN'S CENTER - INFANTS	FACILITY NUMBER: 440709561
	VISIT DATE: 07/17/2024

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	Based on the available evidence, the preponderance of evidence standard has been met and therefore the above allegation is SUBSTANTIATED. As a result of today's inspection, a deficiency was cited, see LIC809-D. Exit interview conducted and the report was reviewed with the Site Director, Rosa Mendoza. A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024

LIC9099 (FAS) - (06/04)

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Control Number 07-CC-20240624145849

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PAJARO VALLEY CHILDREN'S CENTER - INFANTS	FACILITY NUMBER: 440709561
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/17/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/19/2024 Section Cited CCR 101215.1(d)	1 2 3 4 5 6 7	101215.1 Child Care Center Directors Qualifications and Duties (d) The child care center director...shall be on the premises during the hours the center is in operation. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	The Site Director is now attending the facility from 8:00AM-4:00PM. A signed letter shall be submitted from the Site Director indicating that she understands she shall be present at the faciltiy during operating hours and submitted to the Department by 7/19/2024.
	8 9 10 11 12 13 14	The Site Director has not been at the faciltiy during the hours of operation (as she is arriving after the center opens), which poses a potential risk to the health, safety, and personal rights of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 6

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
06/24/2024 and conducted by Evaluator Cortney Nelson

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20240624145849

FACILITY NAME:	PAJARO VALLEY CHILDREN'S CENTER - INFANTS		FACILITY NUMBER:	440709561
ADMINISTRATOR:	ROSA MENDOZA		FACILITY TYPE:	830
ADDRESS:	234 MONTECITO STREET		TELEPHONE:	(831) 722-3737
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	4	CENSUS: 2	DATE:	07/17/2024
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Rosa Mendoza		TIME COMPLETED:	03:16 PM

ALLEGATION(S):

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5
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7
8
9

Children left unsupervised
Out of ratio
Commingling children

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
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12
13

Licensing Program Analysts (LPAs), Cortney Nelson and Jennifer 'Jen' Beehler, met with the Site Director, Rosa Mendoza, and explained purpose of visit- to conduct staff interviews and deliver complaint investigation findings. Upon arrival, LPAs were admitted into the facility by the Site Director.

The complaint investigation comprised of document review, interviews, and observations. LPAs observed that the facility has an active waiver for commingling children for one hour at the beginning and end of the day that was issued on 7/1/2003. No parents reported that they have obsered infants and preschool-age children together upon drop-off. When visiting the facility, staff were in the classroom with children in attendance. A review of the sign-in/out log for the facility did not indicate that there were more than four (4) infants in attendance when only one staff member was present.
**Report continues on LIC9099-C**

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 6

Control Number 07-CC-20240624145849

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PAJARO VALLEY CHILDREN'S CENTER - INFANTS	FACILITY NUMBER: 440709561
	VISIT DATE: 07/17/2024

NARRATIVE

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Based on the available evidence, it is concluded that although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegations are thus UNSUBSTANTIATED.

As a result of today's inspection, no deficiencies were cited.

Exit interview conducted and the report was reviewed with the Site Director, Rosa Mendoza.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024

LIC9099 (FAS) - (06/04)

Page: 5 of 6