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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313624155
Report Date: 08/28/2024
Date Signed: 08/28/2024 12:24:32 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
06/14/2024 and conducted by Evaluator Loraine Perez
COMPLAINT CONTROL NUMBER: 03-CC-20240614103856
FACILITY NAME:RODRIGUEZ, MARIAFACILITY NUMBER:
313624155
ADMINISTRATOR:RODRIGUEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 770-1314
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:14CENSUS: 3DATE:
08/28/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maria RodriguezTIME COMPLETED:
12:40 PM
ALLEGATION(S):
1
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9
Licensee does not properly supervise daycare children, resulting in a child being injured
INVESTIGATION FINDINGS:
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13
Licensing Program Analysts (LPAs) Loraine Perez and Katrina Owens met with Licensee Maria Rodriguez, for the purpose of conducting an unannounced complaint investigation inspection to deliver findings pertaining to the above allegation. Present during today's inspection is the Licensee, and one assistant. There is a census of three children in care. It is alleged that the Licensee does not properly supervise daycare children, resulting in a child being injured. The purpose of today's inspection was explained to the Licensee. During today's inspection, LPA conducted interviews, observed care, and obtained relevant documentation.

LPA Perez conducted several interviews. LPAs conducted observations, and document reviews. The information gathered failed to corroborate the allegation. It was observed the Licensee and assistant maintain supervision of the children indoors and outdoors. From interviews, when injuries that occur at the facility parents are notified by text and/or in person.

Although the allegation may have happened, there is not a preponderance of evidence to prove the allegation; therefore, the allegation is UNSUBSTANTIATED. Exit interview was conducted and report was reviewed with Licensee, Maria Rodrigues. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
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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