<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444409857
Report Date: 11/05/2019
Date Signed: 11/05/2019 10:05:58 PM



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
10/28/2019 and conducted by Evaluator Elizabeth Berumen
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20191028162819
FACILITY NAME:ROCHA, MARISOLFACILITY NUMBER:
444409857
ADMINISTRATOR:MARISOL ROCHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 724-7229
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 9DATE:
11/05/2019
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Marisol RochaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee used inappropriate language in presence of the day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Elizabeth Berumen met Licensee, Marisol Rocha and discussed above stated allegation with her. LPA observed Licensee's husband/assistant and 9 day care children (4 infants and 5 preschoolers) present during the inspection. Licensee's daughter was also present. Licensee, Marisol Rocha confirmed that there was an incident on 10/28/2019 when she used bad words in Spanish; the bad words and language was recorded on the voicemail of resource and referral agency. LPA explained to Licensee that using bad words around day care children is a violation of children's personal rights. Children should not over hear inappropriate language nor should inappropriate language be used in the pressence of daycare children.

Based on LPA observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), is being cited on the attached LIC. 9099D.

NOTICE OF SITE VISIT WAS ISSUED AND SHALL BE POSTED ALONG SIDE THIS REPORT AND 9099D FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth BerumenTELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019
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 2
Control Number 07-CC-20191028162819
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: ROCHA, MARISOL
FACILITY NUMBER: 444409857
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/06/2019
Section Cited
CCR
102423
1
2
3
4
5
6
7
PERSONAL RIGHTS
Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative.
1
2
3
4
5
6
7
Marisol Rocha understands that inappropriate/cuss words should not be used during daycare hours or in the presence of daycare children. Marisol agrees to submit in writing, that inappropriate language will not be used in the presence of daycare children by 11/06/2019.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: Licenseee used inappropriate/cuss words in Spanish on 10/28/19 while day care children were present. This is an immediate health and safety risk to children in care.
8
9
10
11
12
13
14
Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.”
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: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth BerumenTELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2