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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304313621
Report Date: 08/22/2024
Date Signed: 08/22/2024 02:32:47 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/14/2024 and conducted by Evaluator Patricia Duron
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240814124430
FACILITY NAME:GUILLEN, BLANCA ESTEPHANIAFACILITY NUMBER:
304313621
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
08/22/2024
UNANNOUNCEDTIME BEGAN:
05:59 AM
MET WITH:Blanca Estephania Guillen, Licensee TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Licensee is not living in the home
Licensee allowed uncleared adults to reside in the home
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA's) Duron and Thompson conducted an unannounced complaint investigation on today’s date. Upon arrival LPAs met with assistant, Victoria Velarde Rivera. LPA observed 2 children in care, 1 infant and 1 preschool age child inside the day care area of the home. The Orange County Child Care Office received a complaint on 8/14/2024 with two (2) allegations mentioned above.

During the visit, it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions with the exception of Jandry Rojas, Cristan Rojas, Jose Rodrigo Valdez, and Juan Alberto Valdez. LPA observed Jandry Rojas, Cristan Rojas, Jose Rodrigo Valdez, and Juan Alberto Valdez were not associated to the facility. Licensee stated Jandry Rojas, Cristan Rojas, Jose Rodrigo Valdez, and Juan Alberto Valdez have been living at the home for one month.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
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 6
Control Number 06-CC-20240814124430
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: GUILLEN, BLANCA ESTEPHANIA
FACILITY NUMBER: 304313621
VISIT DATE: 08/22/2024
NARRATIVE
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On 8/14/24 a complaint was filed with the Licensing office stating (1) licensee is not living in the home and (2) licensee allowed uncleared adults to reside in the home. Reporting Party (RP) stated licensee is not living in the home. RP stated licensee comes to the home before 7AM and leaves at 6:30PM. RP stated that there are other adults living in the home that are not supposed to be in the home. RP stated licensee has been subleasing her home to the other adults for about 9 months.

LPA’s arrived at 5:59 AM and positioned their vehicles across the street from the family childcare home to have visual observation to the front and sides of the family childcare home. At the time of arrival, there were no vehicles parked on the driveway at the family childcare home. At 6:24 AM, LPA’s observed one adult male leave the family childcare home through the front door and enter into a vehicle parked directly across from family childcare home. At 7:22 AM, LPA’s observed a white SUV enter the driveway, park, and one adult female exited, and then entered the home. At 7:22 AM, LPA’s observed one infant and one preschool age child being dropped off at the family childcare home.



LPA’s knocked on the front door of the family child care home at 7:38 AM and met with assistant #1 (A1) Victoria Rivera Velarde who was observed exiting the white SUV at 7:22 AM. LPA’s identified themselves by names, presented A1 with proper identification issued by the department. Victoria introduced herself as the mother of licensee Blanca Estephania Guillen and stated the licensee was not home. A1 stated licensee left at 6:00 AM to take day care children and the licensee's daughter to school. LPA’s informed A1 the reason for today’s visit and asked to enter the home. A1 asked LPA’s if they can come back later or wait outside until the licensee arrives. LPA’s informed A1 of regulation 102391 Inspection Authority of the Department. A1 stated she would be back and proceeded to close the door while LPA’s waited outside. A1 allowed LPA’s to enter the home at 7:44 AM after waiting approximately six minutes..

While touring the inside of the family childcare home, LPA’s observed two children inside the family room of the home. At 7:45 AM, LPA asked A1 if there were any other adults present. A1 replied “yes there are two families inside two different bedrooms. LPA asked to tour the bedrooms and was told no because the families were asleep and asked for the LPA’s to wait for the licensee to arrive. LPA asked A1 for the names of the adults and A1 stated the names are Carlos, Rodrigo, Jose, and Oscar. A1 then stated two were male nephews inside bedroom #1 and two were male cousins inside bedroom #3. A1 was unsure of the last names.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 06-CC-20240814124430
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: GUILLEN, BLANCA ESTEPHANIA
FACILITY NUMBER: 304313621
VISIT DATE: 08/22/2024
NARRATIVE
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Licensee Blanca Estephania Guillen arrived in a black SUV at the family childcare home at approximately 7:50 AM and parked in the driveway. When licensee entered the home, LPA’s identified themselves by names, presented licensee with proper identification issued by the department, and stated the reason for the visit. Licensee stated she left the family childcare home at 7:30 AM to take her daughter to school. LPA asked if children enrolled in the childcare were dropped off as well, licensee stated “no just her daughter.” LPA informed licensee, LPA’s were present across from the home since 5:59 AM and didn’t observe licensee leave the home at 7:30 AM. Licensee replied “oh.” LPA asked licensee if LPA’s can tour bedroom #1 and bedroom #3. Licensee stated not right now because her nephews and cousins were asleep. LPA asked licensee for the names of her nephews and cousins and licensee stated the names were Jose, Cristan, Juan, and Alberto. Three of the names were different from A1 response. LPA then asked licensee the name of the additional male that was observed leaving the home at 6:24 AM. Licensee replied she didn’t know and was unsure who the male was. LPA asked licensee about Oscar, Rodrigo, and Carlos that was previously mentioned by A1. Licensee stated the correct name for one of the adults is Jose Rodrigo Carlos. At approximately 8:10 AM, licensee stated nephew names were Jandry Rojas and Cristan Rojas. Licensee stated the cousins were Jose Rodrigo Valdez and Juan Alberto Valdez. Licensee then stated the male that left at 6:24 AM was Jose Rodrigo Valdez. Licensee then stated there were only three adults present inside the bedrooms.

LPA asked licensee if she lives in the home? Licensee stated she does live in the home with 4 adults. Licensee stated no minor children live in the home. Licensee stated she resides in bedroom #2 and sometimes in the living room. LPAs toured bedroom #2 and observed children cots, play pens, and one massage table in the bedroom. LPA asked licensee if she has any personal clothing or items in the home. Licensee stated she does in the closet. LPA's observed one child size bathrobe and one adult size black sweater hanging inside the closet. LPA's didnt observe any other adult clothing or adult shoes inside bedroom #2 or in the living room. There were no drawers present inside bedroom #2 or the living room.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 06-CC-20240814124430
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: GUILLEN, BLANCA ESTEPHANIA
FACILITY NUMBER: 304313621
VISIT DATE: 08/22/2024
NARRATIVE
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Based on LPA observations, interviews with licensee and assistant, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter 12, is being cited on the attached LIC 9099 D for the deficiency sections 102370(d)(1) Criminal Record Clearance and 102352(f)(1)(a) Definitions.


LPA Duron informed licensee Blanca Estephania Guillen that this report dated 8/22/2024 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Duron informed the licensee Blanca Estephania Guillen to provide a copy of this licensing report dated 8/22/2024, that documents any Type A citation(s) 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 Blanca Estephania Guillen. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 06-CC-20240814124430
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GUILLEN, BLANCA ESTEPHANIA
FACILITY NUMBER: 304313621
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/22/2024
Section Cited
CCR
102370(d)(1)
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102370(d)(1) Criminal Record Clearance. (d)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing...(1) Obtain a California clearance...

This requirement is not met as evidenced by:
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Licensee stated she will have Jandry Rojas, Cristan Rojas, Jose Rodrigo Valdez, and Juan Alberto Valdez submit fingerprints.
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Licensee stating Jandry Rojas, Cristan Rojas, Jose Rodrigo Valdez, and Juan Alberto Valdez have been living at the home for a month without submitting fingerprints.
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CCR
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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: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 06-CC-20240814124430
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GUILLEN, BLANCA ESTEPHANIA
FACILITY NUMBER: 304313621
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/22/2024
Section Cited
CCR
102352(f)(1)(A)
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102352 Definitions (f)(1) "Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away. The term "Family Child Care" supersedes the term "Family Day Care" as used in previous regulations (A) "Small Family Child Care Home" means a home that provides family child care for up to six children, or for up to eight children if the criteria in Section 102416.5(b) are met. These capacities include children under age 10 who reside at the licensee's home.

This requirement is not met as evidenced by:
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Licensee stated she will appeal.
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Based on observation of licensee not having any personal belongings or clothing inside the home and interview with licensee stating she left the facility at 7:30 am, interview with assistant stating licensee left at 6:00 am and LPA's observation of licensee arriving at approximately 7:50 am.
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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: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6