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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503906437
Report Date: 06/30/2022
Date Signed: 06/30/2022 01:16:22 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/19/2022 and conducted by Evaluator Araceli Gibson
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220519141817
FACILITY NAME:RUIZ, EVELIA FAMILY CHILD CAREFACILITY NUMBER:
503906437
ADMINISTRATOR:RUIZ, EVELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 892-6546
CITY:PATTERSONSTATE: CAZIP CODE:
95363
CAPACITY:14CENSUS: 10DATE:
06/30/2022
UNANNOUNCEDTIME BEGAN:
12:33 PM
MET WITH:Evelia Ruiz TIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is operating outside of license terms and conditions
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/30/22 Licensing Program Analyst (LPA) Araceli Gibson conducted an unannounced complaint inspection met by Spanish speaking Licensee Evelia Ruiz to provide findings regarding the above allegations.

During the course of the investigation LPA Gibson observed the facility, reviewed facility records, timesheets, and interviewed staff, parents and other witnesses. Investigation revealed the following:

Allegation 1: Licensee is operating outside of the license terms and conditions.This agency has investigated the above complaint allegation. Although the allegations may have happened or is valid, with the observations during the investigation inspection and information received during this investigation in interviews with licensee, staf, parents and other witnesses, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore this allegation of this complaint is being closed as UNSUBSTANTIATED.

Per California Code of Regulations Title 22 Division 12 Chapter 3 no deficiencies are being cited. Notice of Site to be posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Araceli GibsonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022
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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