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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334815328
Report Date: 10/19/2022
Date Signed: 10/19/2022 02:11:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/14/2022 and conducted by Evaluator Jeanette Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220714103409
FACILITY NAME:MENDOZA FAMILY CHILD CAREFACILITY NUMBER:
334815328
ADMINISTRATOR:MENDOZA, ADRIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 342-9488
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:14CENSUS: 3DATE:
10/19/2022
UNANNOUNCEDTIME BEGAN:
01:34 PM
MET WITH:Adriana MendozaTIME COMPLETED:
02:17 PM
ALLEGATION(S):
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Licensee speaks inappropriately to children in care
INVESTIGATION FINDINGS:
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On the date and the time listed above, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to deliver the findings for the above allegation. The investigation consisted of record review and interviews.

On 7/14/2022, the department received a complaint alleging that the licensee speaks inappropriately to children in care. LPA Sanchez and LPA Laura Mejorado interviewed licensee and children in care. LPA Sanchez also reviewed a Ring camera video provided by the licensee.

While some information received alleges that the licensee used inappropriate language, other confidential interviews revealed that licensee has not made comments that have been hurtful, harmful or otherwise inappropriate to children.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
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 4
Control Number 10-CC-20220714103409
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MENDOZA FAMILY CHILD CARE
FACILITY NUMBER: 334815328
VISIT DATE: 10/19/2022
NARRATIVE
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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 unsubstantiated.

An exit interview was conducted, and this report was reviewed with licensee Adriana Mendoza. Appeal rights were discussed and provided during the exit interview.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4