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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274416764
Report Date: 04/25/2023
Date Signed: 04/25/2023 01:52:07 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
04/19/2023 and conducted by Evaluator Elizabeth Larios
COMPLAINT CONTROL NUMBER: 07-CC-20230419084930
FACILITY NAME:ROCHA, JOANNAFACILITY NUMBER:
274416764
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
04/25/2023
UNANNOUNCEDTIME BEGAN:
09:42 AM
MET WITH:Joanna Rocha TIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Licensee not providing a safe environment for daycare children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Elizabeth Larios, met with Licensee, Joanna Rocha, for unannounced 10-day complaint investigation. LPA was admitted into the facility by Licensee upon arrival and explained purpose of visit.

LPA toured inside and outside of the family day care home and observed two (2) children in care (2 toddlers) including Licensee minor son. Based on information gathered and the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Firearm was located in the home that was not securely locked and accessible to children.

California Code of Regulations (Title 22, Division 12) Type A is being cited on attached LIC9099-D.

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

DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023
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 3
Control Number 07-CC-20230419084930
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: ROCHA, JOANNA
FACILITY NUMBER: 274416764
VISIT DATE: 04/25/2023
NARRATIVE
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LPA informed Licensee, Joanna Rocha, that this report dated 04/25/2023 documents one Type A citation, which shall be posted for 30 consecutive days as there is an immediate health and safety risk to children in care.

LPA also, informed the Licensee to provide a copy of this licensing report dated 04/25/2023 that documents a Type A citation 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 with the Licensee, Joanna Rocha.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20230419084930
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: ROCHA, JOANNA
FACILITY NUMBER: 274416764
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
04/26/2023
Section Cited
CCR
102417(g)(4)(A)
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OPERATION OF A FAMILY CHILD CARE HOME
The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:(4) Poisons, detergents, cleaning compounds, medicines, firearmsand other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.(4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
(A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.
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A written plan of correction will be submitted to CCL by POC date of 04/26/2023. The plan to include that Licensee understands that storage of fire arms are to be locked and ammunition is to be stored and locked separately. An Immediate Civil Penalty of $500 has been assessed as a result of this violation.
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This requirement was not met as evidenced by: Firearm was located in the home that was not securely locked and accessible to children.This poses an immediate health and safety risk to children in care.
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According to AB 633 Licensee shall post and provide copies of this licensing report which contains this Type A deficiency to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Copy of signed acknowledgement form LIC9224 must be kept in each child's file.

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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: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3