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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 283010550
Report Date: 07/17/2025
Date Signed: 07/17/2025 10:49:07 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2025 and conducted by Evaluator Cindy Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250424095107
FACILITY NAME:MORA ARENAS, EVELYN FCCHFACILITY NUMBER:
283010550
ADMINISTRATOR:MORA ARENAS, EVELYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 260-4979
CITY:SAINT HELENASTATE: CAZIP CODE:
94574
CAPACITY:14CENSUS: 11DATE:
07/17/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Evelyn Mora ArenasTIME COMPLETED:
10:29 AM
ALLEGATION(S):
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Day care child sustained unexplained injury while in care.
INVESTIGATION FINDINGS:
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On 07/17/25, Licensing Program Analyst (LPA) Cindy Castro, made a subsequent complaint investigation inspection, for the purpose of delivering complaint findings, and met with the Licensee, Evelyn Mora Arenas. It has been alleged that day care child sustained unexplained injury while in care.

During the investigation, LPA conducted interviews with the Reporting Party (RP), Licensee (L1), staff member(S1), and four parents. LPA attempted three additional parent interviews unsuccessfully. Licensee denied the allegation and stated that parents are notified of injuries that occur. Licensee reported that there was an incident in which a child had a scratch in their facial area that occurred while there was an altercation over a toy with another child and that both staff and licensee were present in the backyard when it occurred. Licensee added that the incident happened fast and could not be prevented. Furthermore, licensee reported that her approach is to assure that all children are safe prior to contacting the parents to inform about minor injuries. Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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 01-CC-20250424095107
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: MORA ARENAS, EVELYN FCCH
FACILITY NUMBER: 283010550
VISIT DATE: 07/17/2025
NARRATIVE
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S1 reported that there was an incident that occurred between two children, that the incident happened while the children were playing outside and being supervised by S1 and L1. S1 stated not directly observing the incident as all the children were being supervised. That incident involved one child scratching the other child because they both wanted the same toy. S1 further added that L1 notified the parent via text.

In addition, parent statements did not corroborate the allegation. Parents did not report any unexplained child injuries occurring at the Family Child Care Home (FCCH).

Based on available information and interviews conducted, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are determined to be unsubstantiated at this time. There were no Title 22 deficiencies cited. This report was reviewed and discussed with Licensee Evelyn Mora. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2