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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543909572
Report Date: 10/29/2019
Date Signed: 11/06/2019 01:46:32 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/22/2019 and conducted by Evaluator Jessika Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20190822084936
FACILITY NAME:GONZALEZ, STEPHANIE FAMILY CHILD CAREFACILITY NUMBER:
543909572
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
10/29/2019
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Stephanie Gonzalez - Licensee TIME COMPLETED:
02:15 PM
ALLEGATION(S):
1
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9
Licensee left day care children without supervision.
INVESTIGATION FINDINGS:
1
2
3
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5
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9
10
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12
13
Licensing Program Analyst (LPA) Jessika Thompson arrived at the facility to conduct an unannounced complaint inspection. Information was gathered to investigate the above allegation. LPA met with Licensee, Stephanie Gonzalez, who accompanied LPA during a tour of the facility. LPA explained the reason for this inspection with the licensee and a census was taken.

During the course of this investigation, LPA reviewed records, and interviewed the licensee, day-care children, and parents. Of children and parents interviewed, none stated or alluded to witnessing or being aware of children in care being left without supervision. Children interviewed stated that the licensee is always nearby, watching them as they play. The licensee stated there has never been a time where she has left children in care without supervision. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency was cited on this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019
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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