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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274405377
Report Date: 09/14/2023
Date Signed: 09/15/2023 02:53:07 PM

Substantiated


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
06/28/2023 and conducted by Evaluator Elizabeth Berumen
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230628094634
FACILITY NAME:SANCHEZ, HILDA TFACILITY NUMBER:
274405377
ADMINISTRATOR:SANCHEZ, HILDA TFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 763-1097
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 0DATE:
09/14/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Hilda T SanchezTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Personal Rights- Child/siblings not treated with dignity in their personal relationship with staff and other persons

Personal Rights- Child received corporal or unusual punishment
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Berumen met with Licensee, Hilda T Sanchez to deliver findings on above stated allegations.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC. 9099D.

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED 30 DAYS ALONG SIDE TYPE A DEFICIENCIES.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
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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Control Number 07-CC-20230628094634
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: SANCHEZ, HILDA T
FACILITY NUMBER: 274405377
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/14/2023
Section Cited
CCR
102423(a)(1)
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Personal Rights
Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:


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LPA request that Licensee send a written plan of correction stating that she understands that children's personal right should not be violated by 09/14/23. LPA also requests proof that Licensee enroll in a positive discipline class and send proof to LPA by 09/28/23.
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(1) To be treated with dignity in his/her personal relationship with staff and other persons.
This requirement was not met as evidenced by: Licensee called day care child "menso" which translates to dumb. Licensee has used intimidating tone and language with day care child.
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Type A
09/14/2023
Section Cited
CCR
102423(a)(4)
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Each child receiving services from a family child care home shall...be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.
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LPA request that Licensee send a written plan of correction stating that she understands that children's personal right should not be violated by 09/14/23. LPA also requests proof that Licensee enroll in a positive discipline class and send proof to LPA by 09/28/23.
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This requirment was not met as evidenced by:
Child received corporal or unusual punishment; Licensee pushed a child into a vehicle and pushed a child with her leg causing him to fall.
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LIC9224 must be signed by all parents currently enrolled and submitted to Licensing by end of day 09/18/23. LIC9224 and LIC809 and 809D must be provided to all future enrollments for the next 12 months and maintained in file.
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: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
LIC9099 (FAS) - (06/04)
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