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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444409857
Report Date: 07/13/2020
Date Signed: 07/13/2020 03:48:28 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
04/13/2020 and conducted by Evaluator Fermin Campos-Jaramillo
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20200413144351
FACILITY NAME:ROCHA, MARISOLFACILITY NUMBER:
444409857
ADMINISTRATOR:MARISOL ROCHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 724-7229
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 2DATE:
07/13/2020
ANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Marisol RochaTIME COMPLETED:
09:30 AM
ALLEGATION(S):
1
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9
Licensee's husband press his feet on child's face.
Licensee is not adhering to agreed schedule.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met via FaceTime with Marisol Rocha, Licensee. The purpose of today's tele-inspection: Deliver investigation findings to the Licensee on the above-mentioned allegations. LPA observed there were two children in care today included one infant, and one preschool age. This Department has interviewed via telephone the licensee, the reporting party, and some children’s parents. The Department also has requested a copy of the police report to the Watsonville Police Department, there were no reports available at this time.
Based on the available evidence, it is concluded that although the allegations listed on this complaint 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 therefore UNSUBSTANTIATED.
No deficiencies are cited today.
A NOTICE OF SITE VISIT WAS ISSUED, EMAILED AND MUST BE POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
This report has been emailed to licensee and she must replay as received in lieu of her signature.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-JaramilloTELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2020
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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