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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 065406112
Report Date: 09/03/2025
Date Signed: 09/04/2025 10:07:42 AM

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
08/29/2025 and conducted by Evaluator Laura Chavez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20250829122658
FACILITY NAME:CERVANTES, PATRICIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
065406112
ADMINISTRATOR:CERVANTES, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 908-2043
CITY:WILLIAMSSTATE: CAZIP CODE:
95987
CAPACITY:14CENSUS: DATE:
09/03/2025
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Patricia CervantesTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Licensee is operating out of the terms of the license.
INVESTIGATION FINDINGS:
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On 9/3/2025 at 1:20pm, Licensing Program Analyst (LPA) Laura Chavez conducted an unannounced complaint inspection and met with licensee Patricia Cervantes. It was alleged that the licensee is operating out of the terms of the license, specifically, out of ratio and over capacity. On 8/29/2025, at approximately 12:00pm, the licensee was observed without an assistant present caring for 11 children, 5 of whom were infants under the age of 2 years and 6 toddlers, 3 aged 2 years and 3 aged 3 years.

During today's inspection, the licensee acknowledged operating out the terms of her license.

During today’s inspection, LPA toured the facility. LPA observed the licensee and her assistant (A1) caring for 8 children, 5 infants under the age of 2 and 3 toddlers, 2 age 2, and 1 aged 3, placing the licensee out of ratio.


Report continued: See LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
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 3
Control Number 13-CC-20250829122658
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: CERVANTES, PATRICIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 065406112
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/04/2025
Section Cited
CCR
102416.5(d)(1)(e)
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Staffing Ratio and Capacity - 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).
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The licensee declined to provide a plan of correction.
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This requirement was not met as evidenced by:

Based on interviews, the licensee did not comply with the section cited above, which poses an immediate health, safety, or personal rights risk to children in care.
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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: 09/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 13-CC-20250829122658
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: CERVANTES, PATRICIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 065406112
VISIT DATE: 09/03/2025
NARRATIVE
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An interview conducted on 8/29/2025 with Witness #1 (W1) between 12:26pm - 12:52pm stated upon arrival to the home at 12:00pm, the licensee was observed without an assistant present caring for 11 children, 5 infants under the age of 2 years and 6 toddlers, 3 aged 2 years, and 3 aged 3 years. W1 stated the licensee's assistant arrived at 12:05pm.

The following deficiencies were cited 102416.5(d)(1)(e) - Staffing Ratio and Capacity (see LIC 9099D):

LPA Laura Chavez informed licensee Patricia Cervantes that this report dated 9/3/2025 documents 1 Type A citation 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.

Also, LPA Laura Chavez informed the licensee Patricia Cervantes to provide a copy of this licensing report dated 9/3/2025 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.



Based on interviews, the preponderance of evidence standard has been met, therefore, the allegation that the licensee was operating out of the terms of the license is found to be substantiated. California Code of Regulations, Section 102416.(5)(d)(1)(e) is cited on the attached LIC 9099D.

An exit interview was conducted, and the report was reviewed with the licensee, Patricia Cervantes. Appeal rights were provided.

The 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 $100.00.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3