<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423032
Report Date: 05/30/2024
Date Signed: 05/30/2024 03:38:25 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2024 and conducted by Evaluator Sidney Cortez
COMPLAINT CONTROL NUMBER: 52-CC-20240520131025
FACILITY NAME:AVILA, CRISTINAFACILITY NUMBER:
013423032
ADMINISTRATOR:CRISTINA AVILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 787-2176
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:14CENSUS: 14DATE:
05/30/2024
UNANNOUNCEDTIME BEGAN:
03:36 PM
MET WITH:Cristina AvilaTIME COMPLETED:
04:23 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On May 30, 2024 Licensing Program Analyst, Sidney Cortez met with licensee Cristina Avila and conducted an unannounced complaint site inspection to deliver the findings. Present on this visit is the licensee, her 2 fingerprint cleared assistants: Ofelia Haro and Andrea Figueroa and 14 children.


Based on the LPA's observations and interviews, the preponderance of evidence standard has been met. Therefore, the above allegation of the Day care is out of ratio is found to be SUBSTANTIATED.
Title 22, Division 12. 102416.5(e) are being cited.Attached is LIC 9099D.And a plan of correction is given to the licensee. Upon receipt, licensee shall post and provide copies of this licensing report to parent/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024
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 52-CC-20240520131025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: AVILA, CRISTINA
FACILITY NUMBER: 013423032
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/30/2024
Section Cited
CCR
102416.5(e)
1
2
3
4
5
6
7
If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

1
2
3
4
5
6
7
Licensee submitted a signed statement saying she is going to adjust her schedule and staffing to accommodate the census and stay in ratio. Moreover, licensee will have a schedule of pick up and drop offs before her assistants leave for the day.




8
9
10
11
12
13
14
(f) The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children.
8
9
10
11
12
13
14
Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2