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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 233007628
Report Date: 04/15/2026
Date Signed: 04/15/2026 04:38:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/14/2026 and conducted by Evaluator Leticia Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20260114161716
FACILITY NAME:ALVAREZ, MARIA(ANGELICA) FCCHFACILITY NUMBER:
233007628
ADMINISTRATOR:ALVAREZ, MARIA (ANGELICA)FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 513-0520
CITY:UKIAHSTATE: CAZIP CODE:
95482
CAPACITY:14CENSUS: 4DATE:
04/15/2026
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Maria (Angelica) AlvarezTIME COMPLETED:
01:59 PM
ALLEGATION(S):
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Licensee is absent from the daycare.

Uncleared adult is providing care and supervision to children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), L. Rosales-Meza made a subsequent complaint investigation visit, met with Licensee (LS), Maria (Angelica) Alvarez, for the purpose of delivering findings for the allegations mentioned above. LPAs, R. Maciel-Kashima and J. Gaumann previously met with LS on 01/21/26, to discuss the purpose of the visit; interviewed LS and adult (A2); and obtained a facility roster of the children in care. It is alleged that the Licensee is absent from the day care, and an uncleared adult is providing care and supervision to children in care. The report noted that when LS was out of town, she allowed multiple individuals including an adult (A5) without criminal record clearance, to provide childcare services to a daycare child (C9), and those individuals signed and submitted subsidy attendance sheets to the local subsidy program to claim payments, on LS’s behalf.

Continued on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
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 5
Control Number 01-CC-20260114161716
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: ALVAREZ, MARIA(ANGELICA) FCCH
FACILITY NUMBER: 233007628
VISIT DATE: 04/15/2026
NARRATIVE
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LPA, Rosales-Meza conducted additional interviews with six adults (A1 – A6) and parent (P1) between 03/19/26 to 03/26/26, reviewed records; and obtained documents. Based on LS’s statement, she was out of town on vacation from 12/26/25 through 01/14/26, LS claimed the facility was closed during her absence, and LS referred her daycare clients to other providers including her main assistant (A8) and A5, who provided childcare either at the facility or at their own residence(s). LS claimed that all individuals that assisted in providing care were cleared and associated to her facility license, however; Department records indicate that A5 had not obtained a criminal record clearance and/or was not associated to the facility license.

According to A1, A3 & A4’s statements, there is indication that while LS was on vacation from 12/29/25 through 12/31/25, the facility was still in operation. To their knowledge, on at least one occasion, A5 provided childcare services to C9 at the facility and A5’s own residence, while adults (A6-A7) also provided services to children (C3-C6 & C8) between 12/29/25 through 12/31/25, either at the facility or at their residence. A5’s statement reflects there were other children being cared for by other adults at the facility, but it is uncertain how many children from different families received care. It is further noted that A5-A7 signed December 2025 subsidy attendance sheets that were designated for LS’s licensed facility and they attempted to submit those documents to the local subsidy program to claim subsidy funds. To P1’s knowledge, A5 had obtained criminal record clearance. P1 and A5 confirmed that LS referred them to each other, and there was an arrangement between the parties for P1 to drop C9 off at the facility where A5 would transport C9 to A5’s residence so C9 could receive care from A5 and A8.

The Department obtained evidence to show that although LS claimed the facility was closed while she was on vacation, the facility was still in operation because multiple adults including A5 provided childcare services to different families on behalf of LS, and those adults submitted documents meant for LS’s licensed facility, to the subsidy program to claim subsidy payments.

Continued on LIC9099C
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 01-CC-20260114161716
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: ALVAREZ, MARIA(ANGELICA) FCCH
FACILITY NUMBER: 233007628
VISIT DATE: 04/15/2026
NARRATIVE
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Based on statements and records obtained, the preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated. An Immediate Civil Penalty of $500 is being assessed because LS did not ensure A5 obtained a criminal record clearance prior to working with C9. Title 22 deficiencies are being cited on the attached LIC 9099D, and civil penalties are being issued. Appeal rights were provided. Exit interview conducted, and report was reviewed with Licensee, Maria (Angelica) Alvarez.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA Rosales informed Licensee, Maria (Angelica) Alvarez that this report dated 4/15/26 documents one Type A citations which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. LPA Rosales-Meza informed Licensee, Maria (Angelica) Alvarez to provide a copy of this licensing report dated 4/15/26 that documents one 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. An Acknowledgement of Receipt of Licensing Reports LIC 9224 form must be completed and signed by each parent/guardian and placed in each child's file for verification
LPA Leticia Rosales-Meza informed Licensee, Maria (Angelica) Alvarez that this report dated 04/15/26 documents one Type A citations. Type A citations shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA Rosales-Meza informed the Licensee to provide a copy of this licensing report dated 04/15/26 that documents any Type A citation 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.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 01-CC-20260114161716
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: ALVAREZ, MARIA(ANGELICA) FCCH
FACILITY NUMBER: 233007628
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
04/15/2026
Section Cited
CCR
102370(d)(1)
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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department
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Licensee states that she intends to appeal and is not providing plan of correction.
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This requirement was not met as evidenced by: Based on statements and records obtained which confirmed that multiple adults provided care to children at the facility on behalf of the Licensee, while the Licensee was absent. A $500.00 civil penalty applies.
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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: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 01-CC-20260114161716
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: ALVAREZ, MARIA(ANGELICA) FCCH
FACILITY NUMBER: 233007628
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/22/2026
Section Cited
CCR
102417(a)
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The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
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Licensee states that she intends to appeal and is not providing plan of correction.
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This requirement was not met as evidenced by: Based on statements and records obtained which confirmed the Licensee was absent from the facility more than 80% of the time during her daily hours of operation.
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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: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5