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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409194
Report Date: 03/12/2025
Date Signed: 03/12/2025 11:09:10 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, 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
03/10/2025 and conducted by Evaluator Nyeesha Blount
COMPLAINT CONTROL NUMBER: 02-CC-20250310161757
FACILITY NAME:ROMO, CRISTINAFACILITY NUMBER:
073409194
ADMINISTRATOR:ROMO, CRISTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 375-4269
CITY:HERCULESSTATE: CAZIP CODE:
94547
CAPACITY:14CENSUS: 9DATE:
03/12/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:ROMO, CRISTINATIME COMPLETED:
11:30 AM
ALLEGATION(S):
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9
Neglect/Lack of Supervision ~ A child wandered off and the staff was unaware.
INVESTIGATION FINDINGS:
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On March 12, 2025 at 8:30 AM Licensing Program Analyst (LPA) Nyeesha Blount, conducted an Unannounced Complaint site inspection to open complaint and deliver complaint findings. LPA met with Licensee Romo, Cristina and (1) staff member who is background cleared. LPA advised Licensee of the nature of the inspection. Current Census today is 9 children which consists of (1) infant, (8) preschool children. LPA obtained a copy of the children's roster, observations and staff interviews were conducted.

Based on LPA's observations, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations,101229(a)(1) is being cited on the attached LIC 9099D.

The attached type A deficiency is cited today and must be corrected by the due date. An exit interview was conducted. Appeal rights and Notice of Site Visit were given and discussed. This report must be available for public review for 3 years.
Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
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 4
Control Number 02-CC-20250310161757
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: ROMO, CRISTINA
FACILITY NUMBER: 073409194
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/12/2025
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care & Supervision (a) [..] provide care and supervision [..]meet the children's needs (1) No child(ren) shall be left without the supervision [..] include visual observation. This requirement is not met as evidenced by:
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By POC Facility will submit a written plan of action on how facility will ensure full supervision at all times and understanding Licensing Regulation for Providing Care and Supervison.
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Based on record review and interviews Child was left outside in the backyard going out the side yard gate going to the front of the home and walking down the street by himself Staff was not aware of his whereabouts and was retrieved by Hercules Police Department, which poses an immediate health and safety risk to the children in care.
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By 03/14/25 close of business. All staff will have meeting/training watching video on Supervision on CCLD website will be reviewed by all. Licensee will provide statements to LPA via email.
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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: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
03/10/2025 and conducted by Evaluator Nyeesha Blount
COMPLAINT CONTROL NUMBER: 02-CC-20250310161757

FACILITY NAME:ROMO, CRISTINAFACILITY NUMBER:
073409194
ADMINISTRATOR:ROMO, CRISTINAFACILITY TYPE:
810
ADDRESS:178 PEARCETELEPHONE:
(510) 375-4269
CITY:HERCULESSTATE: CAZIP CODE:
94547
CAPACITY:14CENSUS: DATE:
03/12/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:ROMO, CRISTINATIME COMPLETED:
11:30 AM
ALLEGATION(S):
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2
3
4
5
6
7
8
9
Physical Plant ~ Facility in Disrepair.
INVESTIGATION FINDINGS:
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On March 12, 2025 at 8:30 AM Licensing Program Analyst (LPA) Nyeesha Blount, conducted an Unannounced Complaint site inspection to open complaint and deliver complaint findings. LPA met with Licensee Romo, Cristina and (1) staff member who is background cleared. LPA advised Licensee of the nature of the inspection. Current Census today is 9 children which consists of (1) infant, (8) preschool children. LPA obtained a copy of the children's roster, observations and staff interviews were conducted.

Based on LPA's observations, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations,102417(g)(6) is being cited on the attached LIC 9099D.

The attached type A deficiency is cited today and must be corrected by the due date. An exit interview was conducted. Appeal rights and Notice of Site Visit were given and discussed. This report must be available for public review for 3 years.
Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
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 4
Control Number 02-CC-20250310161757
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: ROMO, CRISTINA
FACILITY NUMBER: 073409194
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/12/2025
Section Cited
CCR
102417(g)(6)
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102417 Operation of a Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to (6) Outdoor play areas shall be either fenced, or outdoor play shall be supervised by the licensee or caregiver.

This requirement is not met as evidenced by:
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The licensee shall repair the fence and send photos of the repaired fence to CCLD by 3/13/25 close of business.
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Based on record review The side yard fence gate was open resulting in the child going to the front yard and walking down the street by himself, which poses an immediate health and safety risk to the children in care.
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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.
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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: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4