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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274412789
Report Date: 11/01/2022
Date Signed: 11/01/2022 01:12:43 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
08/05/2022 and conducted by Evaluator Susy Cervantes
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20220805092944
FACILITY NAME:TAPIA, MARIAFACILITY NUMBER:
274412789
ADMINISTRATOR:TAPIA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 444-6273
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:14CENSUS: 6DATE:
11/01/2022
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Maria TapiaTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Facility is operating over capacity
INVESTIGATION FINDINGS:
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On 11/01/2022 at 12:20 PM, Licensing Program Analyst (LPA) Susy Cervantes, met with licensee, Maria Tapia, to deliver complaint findings. Present was licensee and her two assistants, Daniela and Eliza, with 6 children in care: 4 infants and 6 preschool

Based on LPAs observations and record review which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Type A deficiency cited during today's visit. LPA Cervantes informed licensee, Maria Tapia, that this report dated 11/01/2022 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Cervantes informed the licensee to provide a copy of this licensing report dated 11/01/2022 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed in Spanish with the licensee, Maria Tapia. A notice of site visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Susy Cervantes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
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 2
Control Number 07-CC-20220805092944
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: TAPIA, MARIA
FACILITY NUMBER: 274412789
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/02/2022
Section Cited
CCR
102416.5(f)
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Staffing Ratio and Capacity 102416.5(f)
The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children.
This requirement was not met as evidenced by:
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Licensee will review staffing ratio and capacity regulation and will submit a letter stating their understanding of the regulation and their plan to prevent being over capacity.
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Based on record review, licensee was over capacity in the month of June with 15 to 16 children in care. This poses an immediate risk to the health, safery, and personal rights of the children in care.
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Licensee will submit the letter to the San Jose Regional Office by close of business on November 2, 2022.
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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: Susy Cervantes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2