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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073403811
Report Date: 11/08/2024
Date Signed: 11/08/2024 11:26:24 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
07/18/2024 and conducted by Evaluator Mario Caro
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240718140051
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:
11/08/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Silvia Lee-OlorteguiTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Child received unexplained injury while in care
INVESTIGATION FINDINGS:
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On 11/8/24, at 9:00AM, Licensing Program Analysts (LPAs) Mario Caro and Catherine Fernandes arrived unannounced to deliver the findings to the above allegation and met with Licensee Silvia Lee-Olortegui. Present in care were one preschooler and two infants.
The Investigation Bureau investigated a child sustaining an unexplained injury while in care. The department has determined the above allegation is true. Therefore, the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met. Title 22, California Code of Regulations are being cited on the attached LIC 9099D.
LPAs informed Licensee that this report dated 11/8/24 documents one Type A citation which shall be posted Also, LPAs informed the licensee to provide a copy of this dated 11/8/24 that documents any Type A citations 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.
Exit interveiw conducted with Licensee. Report, Appeal Rights, Notice of Site and LIC9224 provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Mario Caro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
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 3
Control Number 02-CC-20240718140051
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: LEE-OLORTEGUI, SILVIA
FACILITY NUMBER: 073403811
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
11/12/2024
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home- The licensee shall be present in the home and shall ensure that children in care are supervised at all times.... This requirement has not been met as evidenced by:
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The licensee is to review the supervision videos on the CCL website and write a statement of understanding to CCL by POC date.
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Based on the department's investigation a child had sustained an unexplained injury while in care which is an immediate safety 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: Mayla Mendoza
LICENSING EVALUATOR NAME: Mario Caro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
07/18/2024 and conducted by Evaluator Mario Caro
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240718140051

FACILITY NAME:LEE-OLORTEGUI, SILVIAFACILITY NUMBER:
073403811
ADMINISTRATOR:LEE-OLORTEGUI, SILVIAFACILITY TYPE:
810
ADDRESS:3630 CRENNA AVENUETELEPHONE:
(925) 288-1956
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY:14CENSUS: 3DATE:
11/08/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Silvia Lee-OlorteguiTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Child left in soiled diaper
INVESTIGATION FINDINGS:
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On 11/8/24, at 9:00AM, Licensing Program Analysts (LPAs) Mario Caro and Catherine Fernandes arrived unannounced to deliver the findings to the above allegation and met with Licensee Silvia Lee-Olortegui. Present in care were one preschooler and two infants. During the course of the investigation LPA Fernandes conducted interviews with parents and children, did a walk through of the home and observed the home.

Interviews indicated conflicting information and little to no concerns regarding diapering. Therefore, 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.

No Deficiency has been cited for this allegation. Exit interview conducted with Director. Appeal rights were provided.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Mario Caro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3