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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274402986
Report Date: 06/05/2024
Date Signed: 06/05/2024 02:42:45 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 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
03/12/2024 and conducted by Evaluator Fermin Campos-Jaramillo
COMPLAINT CONTROL NUMBER: 07-CC-20240312100434
FACILITY NAME:SALAZAR, MIROSLAVA, SAUL & MIRSA DE LA ROSAFACILITY NUMBER:
274402986
ADMINISTRATOR:SALAZAR, MIROSLAVA & SAULFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 676-3413
CITY:SALINASSTATE: CAZIP CODE:
93907
CAPACITY:14CENSUS: 2DATE:
06/05/2024
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:TIME COMPLETED:
01:10 PM
ALLEGATION(S):
1
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9
Provider hit daycare child.
Provider pushed daycare children.
Provider and adult in home yelled at daycare children.
Provider keeps daycare child in play pen all day.
INVESTIGATION FINDINGS:
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2
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13
Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with Miroslava Salazar, licensee. LPA explained to the licensee the purpose of today's visit is: Deliver the investigation findings on the above-mentioned allegations. LPA observed Licensee was providing care to two infants.

This Department has interviewed the licensee and has interviewed over the phone some children’s parents.
Based on the available evidence, it is concluded that although the allegations listed on this complaint may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegations are therefore UNSUBSTANTIATED.

No deficiencies were cited today.

NOTICE OF SITE VISIT WAS PRINTED AND HANDED TO THE LICENSEE, MUST BE POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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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