<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 243911695
Report Date: 08/18/2022
Date Signed: 08/18/2022 11:44:05 AM

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
06/23/2022 and conducted by Evaluator Ka Vang
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220623144900
FACILITY NAME:MONTOYA CONTRERAS, JOHANA FAMILY CHILD CAREFACILITY NUMBER:
243911695
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
08/18/2022
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Johana Montoya ContrerasTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee caused injury to child in care.

Licensee hit child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/18/2022, Licensing Program Analysts (LPAs) Ka Vang and Rene Mancinas conducted an unannounced follow-up inspection to conclude the complaint investigation that was initiated on 06/23/2022. LPAs met with Licensee Johana Montoya Contreras to discuss the purpose of the inspection and the investigation findings. A census was taken.

During the course of the investigation, LPAs interviewed parents, daycare child(ren), and other agencies associated with this complaint. LPA also obtained and reviewed pertinent records relevant to the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged allegations did or did not occur, therefore, the allegations are UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency was cited during today’s inspection.

An exit interview was conducted with Licensee Johana Montoya Contreras. A copy of this report and appeal rights were provided. A note of Site Visit (LIC 9213) form was given to licensee to post and it must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
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