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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617887
Report Date: 02/14/2024
Date Signed: 02/14/2024 10:19:44 AM

Substantiated


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
02/09/2024 and conducted by Evaluator Christopher Bello
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240209083220
FACILITY NAME:LOPEZ, ALMAFACILITY NUMBER:
343617887
ADMINISTRATOR:LOPEZ, ALMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 393-1847
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY:14CENSUS: 10DATE:
02/14/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Alma LopezTIME COMPLETED:
10:40 AM
ALLEGATION(S):
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Provider is operating out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Christopher Bello and Loraine Perez arrived at the facility at approximately 9:00am and met with assistant Rita Raymundo to open and close a complaint investigation, regarding the above allegation. Licensee later arrived at approximately 9:40am. Upon arrival, LPAs observed 10 children with one assistant. It was alleged that the facility was operating out of ratio having more than the allowed amount of infants at a given time for a large license. During investigation LPAs observed the facility out of ratio with one assistant with six preschool children and four infants for a total of ten daycare children. This is considered as an immediate risk to the children in care. Licensee stated that she has two assistants that help her to prevent things like this to happen. Regarding the five infants she had on that day, she did not realize she had five infants and the issue has been corrected. Based on LPAs' investigation, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED.

Title 22 Deficiencies have been cited on the attached LIC 9099D. Upon receipt of Type A citations, facility shall post and provide copies of the LIC 9099D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, Acknowledging Receipt of Licensing Reports LIC 809D in each child's files. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative] Alma Lopez.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
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 2
Control Number 03-CC-20240209083220
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LOPEZ, ALMA
FACILITY NUMBER: 343617887
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/15/2024
Section Cited
CCR
102416.5(a)
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The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement has not been met by evidence: LPAs observed facility out of ratio. This is considered as an immediate risk to the children in care.
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Licensee will ensure that the facility operates in ratio by POC date: 2/15/24. LPA will return to clear the deficiency.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2