566211061-1-31-2024-17-CC-MMUR-D26SP5-20240205130234

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566211061
Report Date: 01/31/2024
Date Signed: 01/31/2024 11:59:19 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/14/2023 and conducted by Evaluator Susana Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20231114141722

FACILITY NAME:	MORA FAMILY CHILD CARE		FACILITY NUMBER:	566211061
ADMINISTRATOR:	DOLORES MORA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 212-6315
CITY:	PORT HUENEME	STATE: CA	ZIP CODE:	93041
CAPACITY:	14	CENSUS: 5	DATE:	01/31/2024
		UNANNOUNCED	TIME BEGAN:	11:14 AM
MET WITH:	Dolores Mora		TIME COMPLETED:	12:14 PM

ALLEGATION(S):

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Licensee does not ensure adequate supervision is being provided to children in care.

INVESTIGATION FINDINGS:

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On January 31, 2024, Licensing Program Analyst's (LPA's) Susana Martinez and Aaliyah Zendejas conducted an unannounced inspection to deliver the findings of the above mentioned allegation. LPA's met with licensee Dolores Mora and advised her the purpose of the inspection. Licensee provided LPA's a tour of the home inside and out. At the time of inspection there were 5 children in care and 3 fingerprint cleared adults in the home.

The Department received an allegation stating the licensee does not ensure adequate supervision is being provided to children in care. The reporting party (RP) states a day-care child’s behavior changed and is concerned child is exposed to these behaviors while at the day care facility. The RP also stated that a child got a diaper rash while in care. LPA Martinez contacted the RP to follow up on the allegation. LPA asked the RP if the concerns had been brought up to the Licensee, the RP stated no. The RP stated the diaper rash was due to child having stomach problems.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024

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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Control Number 17-CC-20231114141722

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MORA FAMILY CHILD CARE	FACILITY NUMBER: 566211061
	VISIT DATE: 01/31/2024

NARRATIVE

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LPA conducted interviews with Licensee and parents of current and former children. LPA interviewed 6 parents who stated they were content with the level of care and supervision their children receive from the licensee. A couple parents noting that their children would be very happy and not want to leave the family child care home at times. Licensee states she is unaware of anyone complaining about adequate supervision is being provided.

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.

Notice of Site Visit was given. No deficiencies were issued during this inspection.

Exit interview conducted and report reviewed with Licensee Dolores Mora.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024

LIC9099 (FAS) - (06/04)

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