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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 293624876
Report Date: 04/30/2025
Date Signed: 04/30/2025 01:03:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/06/2025 and conducted by Evaluator Matthew Gallo
COMPLAINT CONTROL NUMBER: 03-CC-20250206113943
FACILITY NAME:FARFAN, LORINDAFACILITY NUMBER:
293624876
ADMINISTRATOR:FARFAN, LORINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 823-7311
CITY:GRASS VALLEYSTATE: CAZIP CODE:
95949
CAPACITY:14CENSUS: DATE:
04/30/2025
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Lorinda FarfanTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Licensee spoke inappropriately to parent with day care children present.
INVESTIGATION FINDINGS:
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At 12:10pm on 4/30/2025, Licensing Program Analyst (LPA) Matthew Gallo met with licensee Lorinda Farfan to close a complaint investigation into the above allegation. Upon arrival, LPA observed a census of 3 children in care, consisting of 1 infant, 1 preschool child, and 1 school-aged child.

It was alleged that licensee spoke inappropriately to a parent with day care children present. Throughout the course of the investigation, LPA conducted interviews and relevant record review. In regard to the alleged incident which prompted the complaint, the evidence available was insufficient to conclude that the allegation either did or did not occur. Through interviews with other relevant individuals, LPA was made aware of a separate, unrelated incident in which the licensee engaged in an argument with a parent in front of a daycare child. LPA reviewed record of this incident. Although the argument occured, it is determined that the interaction in itself did not rise to the level of abridging the personal rights of children in care.

Report continues on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
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 03-CC-20250206113943
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: FARFAN, LORINDA
FACILITY NUMBER: 293624876
VISIT DATE: 04/30/2025
NARRATIVE
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Based on the information obtained, the allegation is determined to be UNSUBSTANTIATED, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove it. Exit interview conducted and report was reviewed with the licensee, Lorinda Farfan. A notice of site visit was given and must remain posted for 30 days. Appeal rights provided.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2