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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153905200
Report Date: 02/09/2022
Date Signed: 02/09/2022 01:44:29 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/19/2021 and conducted by Evaluator Roman Iglesias
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20211119120444
FACILITY NAME:SIXTOS, IRENE FAMILY CHILD CAREFACILITY NUMBER:
153905200
ADMINISTRATOR:SIXTOS, IRENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 721-2118
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY:14CENSUS: 6DATE:
02/09/2022
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:SIXTOS, IRENETIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Adult in home uses illegal drugs while children are in care

Facility is in disarray

INVESTIGATION FINDINGS:
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 Licensing Program Analyst (LPA), Roman Iglesias, conducted an unannounced complaint inspection to provide findings for the above allegations. LPA met with Licensee Irene Sixtos, LPA reviewed the allegation with Ms. Sixtos, and LPA took a census.
This agency has investigated the complaints alleging adult in home uses illegal drugs while children are in care and facility is in disarray. During the course of the investigation LPA interviewed Ms. Sixtos, her live-in son, her son's girlfriend, children, and children's parents.
Although the allegations may have happened or are valid, 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 (FCCH), no deficiency is cited during today's inspection.
An exit interview conducted with Licensee, Irene Sixtos. A copy of this report and Appeal Rights were provided and discussed with Ms. Sixtos.

A Notice of Site Inspection Form was posted on parent's board and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Roman Iglesias
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
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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