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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 270710411
Report Date: 12/10/2024
Date Signed: 12/10/2024 03:44:52 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/06/2024 and conducted by Evaluator Elizabeth Larios
COMPLAINT CONTROL NUMBER: 07-CC-20241206102639
FACILITY NAME:GREENFIELD UNION SCHOOL DISTRICT-PRESCHOOL PROGRAMFACILITY NUMBER:
270710411
ADMINISTRATOR:TERESA RAMIREZFACILITY TYPE:
850
ADDRESS:490 EL CAMINO REALTELEPHONE:
(831) 674-8731
CITY:GREENFIELDSTATE: CAZIP CODE:
93927
CAPACITY:45CENSUS: 13DATE:
12/10/2024
UNANNOUNCEDTIME BEGAN:
10:17 AM
MET WITH:Erin Ramirez, Jacqueline Valencia, Hortensia CastilloTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff gave child CBD gummies without parent's consent
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Larios conducted an initial unannounced complaint investigation. LPA met with ECE Family Advocate, Hortensia Castillo and District Adminsitrator, Erin Ramirez and explained the purpose of today's visit.

LPA obtained pertinent information during visit. Based on interviews conducted, records obtained, and evidence gathered during the investigation process, it is concluded that although the allegation listed on this complaint may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegation is therefore UNSUBSTANTIATED.

Exit interview was conducted, where this report was reviewed and discussed with Erin Ramirez & Jacqueline Valencia.

====CONTINUED ON LIC 9099-C====
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
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 4
Control Number 07-CC-20241206102639
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: GREENFIELD UNION SCHOOL DISTRICT-PRESCHOOL PROGRAM
FACILITY NUMBER: 270710411
VISIT DATE: 12/10/2024
NARRATIVE
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A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4