553623119-10-18-2019-53-CC-JSMH-BHGVZT-20191031165316

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 553623119
Report Date: 10/18/2019
Date Signed: 10/18/2019 12:39:06 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/01/2019 and conducted by Evaluator Justin L Denton

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20190801163208

FACILITY NAME:	VACA, DEBBIE		FACILITY NUMBER:	553623119
ADMINISTRATOR:	VACA, DEBBIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 532-0899
CITY:	SONORA	STATE: CA	ZIP CODE:	95370
CAPACITY:	14	CENSUS: 7	DATE:	10/18/2019
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Debbie Vaca		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Daycare children left unsupervised

Operating over capacity

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Justin Denton met with Licensee Debbie Vaca to provide the findings for the above allegations. During the course of the investigation, LPA interviewed staff and toured the facility. The complainant alleged that the children were left unsupervised and that the facility was operating over capacity. During each inspection, LPA observed the facility to be within capacity and children were properly supervised. Interviews with staff did not reveal that children were left alone at the home with an aide under the age of 18.

Based on the information obtained throughout the course of this investigation the above allegation could not be substantiated. Although the allegations may have happened (or are valid), there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the findings are UNSUBSTANTIATED. No Title 22 deficiencies were cited at time of visit. An exit interview was conducted in which the report was reviewed and discussed with Licensee Vaca. Appeal rights were discussed and a printed version was given to Licensee Vaca.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019

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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