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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566215674
Report Date: 10/10/2023
Date Signed: 10/10/2023 04:55:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/17/2023 and conducted by Evaluator Francisca Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230717161923
FACILITY NAME:CAZAREZ FAMILY CHILD CAREFACILITY NUMBER:
566215674
ADMINISTRATOR:YAKELIN CAZAREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 766-1103
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:14CENSUS: 5DATE:
10/10/2023
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Yakelin CazarezTIME COMPLETED:
05:17 PM
ALLEGATION(S):
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Uncleared adult living in the daycare home
INVESTIGATION FINDINGS:
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On 10/10/23, Licensing Program Analyst (LPA) Francisca Velazquez made an unannounced inspection to the Family Child Care Home (FCCH) in order to deliver the findings with regard to the above allegation. LPA met with Yakelin Cazarez, Licensee of the FCCH and explained the nature of the inspection and toured the interior and exterior of the FCCH. LPA notes there were five (5) children present during this inspection being cared by Licensee and assistant.

The investigation included three unannounced inspections, interview of the licensee and assistant, record review and interviews with parents of currently enrolled children and previously enrolled children in the FCCH.

Interviews, record reviews as well as LPA's observations did not corroborate the allegation of an uncleared adult living in the daycare home. Unannounced inspections revealed no indication that uncleared adult reside in the home. CONT 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 17-CC-20230717161923
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CAZAREZ FAMILY CHILD CARE
FACILITY NUMBER: 566215674
VISIT DATE: 10/10/2023
NARRATIVE
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In addition, interviews with licensee and assistant revealed that two adults are in the process of waiting for fingerprint clearance, however, these individuals do not reside in the home yet. Further, parent interviews revealed families are satisfied with the care and supervision their children receive at the FCCH and all families reported the only adults observed in the home are the licensee and assistant.

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.

A Notice of Site Visit (LIC 9213) and Appeal Rights (LIC 9058) were provided to the Licensee. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2