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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 515406330
Report Date: 09/25/2019
Date Signed: 09/27/2019 08:48:45 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/26/2019 and conducted by Evaluator Laura Chavez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20190826164432
FACILITY NAME:ALVARADO, MARIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515406330
ADMINISTRATOR:ALVARADO, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 673-2724
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:14CENSUS: 10DATE:
09/25/2019
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Maria AlvaradoTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child sustained unexplained injuries while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
A follow-up unannounced complaint investigation inspection was made to the facility by Licensing Program Analyst (LPA) Laura Chavez. LPA met with Licensee Maria Alvarado at 9:20am. This agency investigated a complaint alleging that a child sustained unexplained injuries while in care, specifically that dark bruises were observed on the thigh and buttocks of Child #1. The licensee was interviewed on 9/3/2019 and denied the allegation and stated the injuries on Child #1 were not observed during the hours of the child's last day in her care. Licensee said the child arrived on 8/23/2019 between 7:00am-7:30am and was picked up by the child's parent at approximately 12:30pm. Three children and three assistants interviewed on 9/3/2019 denied any child was injured while in care. During today’s inspection the facility was toured at 9:42am. LPA observed the licensee and her assistant providing care and supervision to 10 children.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. An exit interview was conducted. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
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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