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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 243909809
Report Date: 09/27/2021
Date Signed: 09/28/2021 09:46:27 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, 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
08/19/2021 and conducted by Evaluator Angelica Slaughter
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210819165841
FACILITY NAME:AYALA, MANUEL & DOMINICA FAMILY CHILD CAREFACILITY NUMBER:
243909809
ADMINISTRATOR:AYALA, MANUEL & DOMINICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 384-3643
CITY:MERCEDSTATE: CAZIP CODE:
95341
CAPACITY:14CENSUS: 0DATE:
09/27/2021
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Manual AyalaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Adult in the home arrested after allegation of Child Pornography.
Adult in the home had firearm not appropriately stored.
INVESTIGATION FINDINGS:
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On 09/27/21, Licensing Program Analyst (LPA) Angelica Slaughter conducted a follow-up complaint inspection to the facility and met with Licensee, Manuel Ayala. The purpose of the inspection was to deliver the findings for the above complaint allegations.

During the course of the investigation, the Merced City Police Department and CCLD Investigations Branch conducted interviews with Licensees and multiple parties. Based on the information obtained during the investigation, there is a preponderance of the evidence to prove an adult in the home was arrested for allegations of child pornography and an adult in the home had a firearm not appropriately stored; therefore, the allegations are substantiated.

(Continuation on 9099 C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Angelica Slaughter
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021
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 04-CC-20210819165841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: AYALA, MANUEL & DOMINICA FAMILY CHILD CARE
FACILITY NUMBER: 243909809
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/28/2021
Section Cited
HSC
1596.885(c)
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Conduct Inimical. Health and Safety Code Section 1596.885(c): Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement was not met as evidenced by a complete investigation conducted by Merced City Police Department and CCLD Investigations Branch.
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Licensee stated and documented that Joel Damian Ortega will not be allowed onto the property and he will contact Merced Police Department if necessary. LPA received document with Licensee's hand written statement on this inspection. Deficiency corrected.
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Licensee's adult son was arrested on charges of child pornography. This is an immediate personal rights, health and safety risk to children in care.
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Type A
09/28/2021
Section Cited
CCR
102417(g)(4)
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Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement was not met as evidenced by a complete investigation by Merced City Police Department and CCLD Investigations Branch.
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Licensee stated and documented that Joel Damian Ortega will not be allowed onto the property and he will contact Merced Police Department if necessary. LPA received document with Licensee's hand written statement on this inspection. Deficiency corrected.
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Licensee's adult son had a firearm in the home not appropriately stored. This is an immediate personal rights, health and safety risk to children in care.
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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: Diana deLeon
LICENSING EVALUATOR NAME: Angelica Slaughter
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20210819165841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: AYALA, MANUEL & DOMINICA FAMILY CHILD CARE
FACILITY NUMBER: 243909809
VISIT DATE: 09/27/2021
NARRATIVE
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Per California Code of Regulation, Title 22, Division 12, deficiencies were cited (continued on next page, see 9099 D).

**Upon receipt of a Type A violation, Licensee shall post the Type A report immediately and for the next 30 days. Copies of the Licensing report shall be provided to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Health & Safety Section 1596.859(a) shall be cited and a civil penalty of $100.00 for failure to provide copies to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of licensing reports indicating a Type A violation (Acknowledgement of Receipt of Licensing Reports - LIC 9224). A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of the LIC 9224 was provided to Licensee.

Exit interview was conducted with Licensee. Licensee was provided a copy of the Facility Report (LIC 9099), appeal rights, and the Notice of Site Visit form (LIC 9213). The LIC 9099 is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Angelica Slaughter
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021
LIC9099 (FAS) - (06/04)
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