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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 165620417
Report Date: 07/10/2024
Date Signed: 07/10/2024 10:16:58 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 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
03/11/2024 and conducted by Evaluator Paul Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20240311120557
FACILITY NAME:RAMIREZ, EVA FAMILY CHILD CAREFACILITY NUMBER:
165620417
ADMINISTRATOR:RAMIREZ, EVAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 852-7711
CITY:LEMOORESTATE: CAZIP CODE:
93245
CAPACITY:14CENSUS: 3DATE:
07/10/2024
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Eva RamirezTIME COMPLETED:
08:30 AM
ALLEGATION(S):
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Day care child sustained an unexplained fracture possibly at the day care home.
INVESTIGATION FINDINGS:
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On July 10, 2024, Licensing Program Analysts (LPAs) Paul Garcia and Octavia Nolan conducted a complaint inspection. Licensee Eva Ramirez accompanied LPAs during a tour of the facility both inside and outside. A census was taken. The above complaint allegation was investigated by the California Department of Social Services, Community Care Licensing Investigations Branch (IB) Investigator, Elisia Rippe. During the course of the investigation, Investigator Rippe interviewed staff, parents, children, witnesses, reviewed facility records, and medical documents.

Although the above allegation may have happened or is valid, there is not a preponderance of evidence at this time to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

(Continued on LIC 9099-C)

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
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 57-CC-20240311120557
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RAMIREZ, EVA FAMILY CHILD CARE
FACILITY NUMBER: 165620417
VISIT DATE: 07/10/2024
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency is cited during today's visit.

An exit interview was conducted with Licensee, Eva Ramirez. A copy of this report and Appeal Rights were discussed and issued.

A Notice of Site Visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3