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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 243909809
Report Date: 03/17/2022
Date Signed: 03/17/2022 01:21:28 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
01/20/2022 and conducted by Evaluator Angelica Slaughter
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220120133901
FACILITY NAME:AYALA, MANUEL & DOMINICA FAMILY CHILD CAREFACILITY NUMBER:
243909809
ADMINISTRATOR:AYALA, MANUEL & DOMINICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 777-0865
CITY:MERCEDSTATE: CAZIP CODE:
95341
CAPACITY:14CENSUS: 4DATE:
03/17/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Manuel AyalaTIME COMPLETED:
10:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Daycare child was sexually abused at the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/17/22, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced follow up complaint inspection to the facility. LPA met with licensee Manuel Ayala. The purpose of the inspection was to deliver the findings for the above complaint allegation.

During the course of the investigation, LPA(s) reviewed documentation, interviewed licensees, daycare child(ren) and daycare parent(s). The interviews revealed inconsistencies in the above allegation. Although the allegtion may have happened or may be valid, there is not a preponderance of the evidence to prove it occurred; therefore, the allegation is unsubstantiated.

Per California Code of Regulations, Title 22, Division 12, no deficiency is cited during today’s inspection. Appeal rights were provided. A Notice of Site Visit was given.

This report shall be made available to the public upon request.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Angelica Slaughter
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2022
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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