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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334842963
Report Date: 04/29/2025
Date Signed: 04/29/2025 01:25:11 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
03/06/2025 and conducted by Evaluator Naomi Hurtado
COMPLAINT CONTROL NUMBER: 10-CC-20250306114548
FACILITY NAME:GONZALEZ FAMILY CHILD CAREFACILITY NUMBER:
334842963
ADMINISTRATOR:GONZALEZ, ANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 393-8141
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:14CENSUS: 6DATE:
04/29/2025
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Ana GonzalezTIME COMPLETED:
01:55 PM
ALLEGATION(S):
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Provider does not prevent child from being hit by other children in care
INVESTIGATION FINDINGS:
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On 4/29/2025 at 1:10 PM, Licensing Program Analyst (LPA) Naomi Hurtado arrived unannounced at Gonzalez FCCH (Family Child Care Home) and met with Licensee Ana Gonzalez to deliver the investigative findings regarding the allegation listed above.

On 3/6/2025 a complaint was received alleging that the Licensee does not prevent child from being hit by other children in care. An initial 10 day visit was conducted on 3/13/25 where LPA Hurtado obtained copy of the facility roster, reviewed children files, obtained staff contact numbers, and interviewed Licensee. Children were not present to interview.

During the course of the investigation, Licensee was interviewed and stated that she did not observe how child 1 (C1) obtained an injury to their ear on 3/3/25. Admittedly, Licensee stated that C1 and Child 2 (C2) have a history of playing and fighting, however, on the evening of 3/3/25, Licensee was unaware of any incident between the two transpiring.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Naomi Hurtado
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
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 10-CC-20250306114548
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: GONZALEZ FAMILY CHILD CARE
FACILITY NUMBER: 334842963
VISIT DATE: 04/29/2025
NARRATIVE
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Licensee stated she was changing C2 in the restroom and when she returned to the living room C1 was sitting on the couch. Licensee saw C1 grabbing their ear and bleeding from the ear. Licensee stated staff 1 (S1) had left for the day and no other children remained. Licensee, Staff 1, and 2 out of 2 confidential parties stated that C1 has limited speech and was unable to explain the incident.
Based on observations, facility records, and interviews with Licensee, S1, and confidential parties, there was conflicting evidence to determine if the provider did not prevent child from being hit by other children in care. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are UNSUBSTANTIATED at this time.

A notice of site visit was given to Licensee Ana Gonzalez and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and the report was reviewed with Licensee Ana Gonzalez. Appeal rights were discussed and provided during the exit interview.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Naomi Hurtado
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2