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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103809921
Report Date: 03/27/2023
Date Signed: 03/27/2023 11:39:05 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/26/2023 and conducted by Evaluator Caroline Harris
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20230126093911
FACILITY NAME:ARAGON, MARTHA FAMILY CARE HOMEFACILITY NUMBER:
103809921
ADMINISTRATOR:ARAGON, MARTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 801-1153
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY:14CENSUS: 5DATE:
03/27/2023
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Martha AragonTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider left day care child soiled resulting in diaper rash.

Provider leaves day care child in car seat while day care child is napping.

Provider did not provide incident report to parent.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/27/23 an unannounced complaint inspection was conducted today by Licensing Program Analyst (LPA) Caroline Harris. LPA met with Licensee, Martha Aragon and toured the facility. A census was taken. LPA reviewed the above listed allegations with the licensee. The purpose of today’s visit was to close the complaint investigation. The investigation consisted of interviews with the licensee, staff, parents, as well as a facility records review. Children enrolled were too young to be interviewed.

Although the allegations may have happened or are valid, based on statements received during the investigation, and correspondence reviewed, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are unsubstantiated.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency is cited during today's visit. An exit interview with Licensee, Martha Aragon was conducted. Appeal rights were discussed and given to the licensee along with a notice of site visit. Notice of Site Visit is to be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023
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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