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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274416047
Report Date: 07/19/2024
Date Signed: 07/19/2024 03:10:06 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
04/25/2024 and conducted by Evaluator Fermin Campos-Jaramillo
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240425152613
FACILITY NAME:HERNANDEZ-RIOS, CARLAFACILITY NUMBER:
274416047
ADMINISTRATOR:CARLA HERNANDEZ-RIOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 585-8624
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:14CENSUS: 6DATE:
07/19/2024
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Carla Hernandez-RiosTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Licensee yells at children.
Licensee leaves infant for extended period of time in a high chair.
Licensee's spouse transports children in an unsafe manner.
Licensee handles infant in an unsafe manner
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
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12
13
Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with Carla Hernandez-Rios, 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 and her spouse Carlos were providing care to six children. Licensee was working in ratio and capacity.
The LPA has interviewed the licensee, her spouse, and some children in person. LPA 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: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2024
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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