444409824-1-22-2021-07-CC-MSEA-BXHV36-20210122150410

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 444409824
Report Date: 01/22/2021
Date Signed: 01/22/2021 11:01:37 AM

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
11/17/2020 and conducted by Evaluator Elizabeth Berumen

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20201117124326

FACILITY NAME:	ORTIZ, LETICIA		FACILITY NUMBER:	444409824
ADMINISTRATOR:	LETICIA ORTIZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 722-5094
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	14	CENSUS: 8	DATE:	01/22/2021
		ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Leticia Ortiz		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Licensee is not present at the facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elizabeth Berumen conducted an announced tele-inspection via FaceTime (#831-566-4860) with Licensee, Leticia Ortiz today. Purpose of today's tele-inspection was to deliver investigation findings. LPA observed 8 day care children and assistant, Ana Zavala.

LPA Berumen informed Licensee, Leticia Ortiz that she shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
Based on the available evidence and interviews completed for the complaint investigation, 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 the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED. LPA Berumen will forward a copy of today’s report to Licensee, Leticia Ortiz via email (Ortizleticia610@gmail.com).

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth Berumen	TELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2021

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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