065406060-2-5-2026-13-CC-MAVS-DRFQXG-20260219113329

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 065406060
Report Date: 02/05/2026
Date Signed: 02/05/2026 02:54:59 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/22/2026 and conducted by Evaluator Laura Chavez

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20260122155400

FACILITY NAME:	RIVERA, ANGELICA FAMILY CHILD CARE HOME		FACILITY NUMBER:	065406060
ADMINISTRATOR:	RIVERA, ANGELICA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 473-2168
CITY:	WILLIAMS	STATE: CA	ZIP CODE:	95987
CAPACITY:	14	CENSUS: 3	DATE:	02/05/2026
		UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Angelica Rivera		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Absence of supervision: child wandered away from the facility.

Licensee failed to report incident to the Department as required.

INVESTIGATION FINDINGS:

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On 2/5/2026, at 11:50am, Licensing Program Analyst (LPA) Laura Chavez conducted an unannounced complaint inspection and met with Licensee Angelica Rivera. It was alleged that there was an absence of supervision after a child wandered away from the facility. Specifically, Child #1 (C1) was found alone in the middle of the road, approximately half-a-block across the street from the facility. It was also alleged the licensee did not report this incident as required.

On January 23, 2026, an interview with the licensee was conducted at 12:10pm. The licensee initially denied the allegations and stated that the allegation of a child wandering away without her knowledge is a lie. The licensee stated that since nothing happened, there was nothing to report. The licensee then stated that she, Child #1 (C1), and Child #2 (C2) were in the front yard while she watered her plants. The licensee said she saw C1 walk into the next-door neighbor's yard, located on the same side as the facility.

Report continued: See LIC9099-C's

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

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 13-CC-20260122155400

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: RIVERA, ANGELICA FAMILY CHILD CARE HOME	FACILITY NUMBER: 065406060
	VISIT DATE: 02/05/2026

NARRATIVE

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The licensee said the neighbor who was sitting on the front porch walked C1 back to her while she was still in the front yard. Licensee denied losing sight of C1. Eventually, the licensee admitted that she, C1, and C2 walked back into the facility and closed the front door. Licensee said that while she was in the backyard looking for a bucket, C1 opened the front door, walked out, and walked into the middle of the road without her knowledge. The licensee stated C1 was gone for less than 2 minutes and felt C1 was not gone long enough to have reported the absence to the Department.

On January 23, 2026, an interview was conducted with Child #2, between 12:20pm – 12:30pm, who stated that C1 opened the front door and walked out of the facility into the middle of the road. C2 said the licensee was in the backyard when C1 walked outside. C2 said that while standing in the open doorway, they saw an unknown adult get C1 from the middle of the road. C2 said they ran back into the facility and told the licensee that an unknown adult had C1. C2 said the licensee ran outside to retrieve C1 from the unknown adult.

On 1/22/2026 an interview was conducted with a witness (W1) who stated they observed a small child approximately two years old in the middle of the road half-a-block away from the facility. The witness stated once the child was retrieved, it was approximately 5 minutes before the licensee, who clearly didn’t realize C1 got out, came out of the facility.

Based on witness interviews, the preponderance of evidence standard has been met; therefore, the allegations are substantiated.

LPA Laura Chavez informed licensee Angelica Rivera that this report, dated 2/5/2026, documents two Type A citations. Type A citation(s), which shall be posted for 30 consecutive days, as there is an immediate risk to the health, safety, or personal rights of children in care.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20260122155400

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: RIVERA, ANGELICA FAMILY CHILD CARE HOME	FACILITY NUMBER: 065406060
	VISIT DATE: 02/05/2026

NARRATIVE

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LPA Laura Chavez informed the licensee to provide a copy of this licensing report dated 2/5/2026 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted, and the report was reviewed with the licensee, Angelica Rivera. A plan of correction was discussed. Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 13-CC-20260122155400

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: RIVERA, ANGELICA FAMILY CHILD CARE HOME	FACILITY NUMBER: 065406060
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/05/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/06/2026 Section Cited HSC 1597.58(c)(2)	1 2 3 4 5 6 7	Absence of supervision, including, but not limited to, a child left unattended, and a child left alone with a person under 18 years of age. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	The licensee agrees to submit a written plan of operation on how she will ensure supervision of children to prevent any child from leaving the facility. The licensee also agrees to view the video provided thru the departments website; https://ccld.childcare videos.org/family-child-careproviders
	8 9 10 11 12 13 14	Child #1 (C1) wandering away from the facility and walking into the middle of the road without the licensee’s knowledge. The department assessed an immediate civil penalty of five hundred dollars ($500).	8 9 10 11 12 13 14	supervising-children-in-family-child-care/ The written plan shall include a written statement of her understanding of the information viewed through the video. The plan of correction shall be submitted to CCLD on or before 2/6/2026.
Type A 02/06/2026 Section Cited CCR 102416.2(b)(2)	1 2 3 4 5 6 7	Reporting Requirements - The licensee shall report to the Department any of the events as specified in HSC Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home. Any absence means any instance where a child in care is missing. For example, any child in	1 2 3 4 5 6 7	The licensee agrees to provide a written statement on how she will ensure reporting events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home.
	8 9 10 11 12 13 14	care who wanders away from the FCCH, is lost during an outing, or does not return from school, shall be reported even if the child is later found safe. This requirement is not met as evidenced by: The licensee failing to report C1 wandering away from the facility without her knowledge.	8 9 10 11 12 13 14	The plan of correction shall be submitted to CCLD on or before 2/6/2026.

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: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC9099 (FAS) - (06/04)

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