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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300764
Report Date: 07/17/2025
Date Signed: 07/17/2025 11:13:07 AM

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
07/15/2025 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20250715100138
FACILITY NAME:ZEPEDA FAMILY CHILD CAREFACILITY NUMBER:
336300764
ADMINISTRATOR:ZEPEDA, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 764-7288
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:14CENSUS: 8DATE:
07/17/2025
UNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:Angela Zepeda, LicenseeTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Licensee is not providing adequate food service to day care children
INVESTIGATION FINDINGS:
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On 07/17/2025 at approximately 09:18AM, Licensing Program Analyst (LPA) made an unannounced initial complaint visit to the above noted facility. LPA met with Licensee Angela Zepeda and informed them of the purpose of this visit. During this investigation LPA conducted a tour of the facility, made observations, conducted interviews with the Licensee, and 3 children, Child One (C1), Child Two (C2), and Child Three (C3). The following was determined.

Upon tour of the facility, LPA noticed a posted menu with an assortment of food groups available for meals, and LPA verified the food was available in the refrigerator, and pantry. Licensee interview relayed the agreement they have with parents is that they provide full meals and in between meals, there are snacks provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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-20250715100138
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: ZEPEDA FAMILY CHILD CARE
FACILITY NUMBER: 336300764
VISIT DATE: 07/17/2025
NARRATIVE
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3 of 3 children interviewed relayed that the Licensee provides an assortment of food when it is meal time to include breads, meats, fruits, and vegetables. In between meals, there are snacks that include fruits, and crackers.

Thus, due to interviews conducted, and LPA observation, LPA found the allegation to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where a copy of this report was reviewed with and provided along with copies of the LIC811 (confidential names list) and a notice of site visit.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2