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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073403811
Report Date: 04/20/2023
Date Signed: 04/20/2023 09:17:48 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/14/2023 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230314100446
FACILITY NAME:LEE-OLORTEGUI, SILVIAFACILITY NUMBER:
073403811
ADMINISTRATOR:LEE-OLORTEGUI, SILVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 288-1956
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY:14CENSUS: 3DATE:
04/20/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Silvia Lee-OlorteguiTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Day care child sustained unexplained bruising while in care.
INVESTIGATION FINDINGS:
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On 04/20/2023 at 8:30 AM, Licensing Program Analyst (LPA) Christina Watts conducted an unannounced Subsequent Complaint Investigation at Silvia Lee-Olortegui's family child care home. LPA met with licensee and explained the purpose of today’s inspection. During today's inspection, there were 3 children in care (1 infant, 2 preschoolers) and an aide. The finding for the above allegation was delivered during the inspection. During the course of the investigation LPA completed a physical plant inspection, reviewed facility records and conducted interviews. Complainant alleges that Day care child sustained unexplained bruising while in care. At this time, LPA was unable to determine if C1 sustained brusing in care. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023
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 02-CC-20230314100446
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: LEE-OLORTEGUI, SILVIA
FACILITY NUMBER: 073403811
VISIT DATE: 04/20/2023
NARRATIVE
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No Deficiency has been cited for this allegation. Exit interview conducted with licensee Silvia Lee-Olortegui. Appeal rights were provided.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2