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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617896
Report Date: 03/26/2025
Date Signed: 03/26/2025 03:04:46 PM

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
03/20/2025 and conducted by Evaluator Loraine Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250320145731
FACILITY NAME:CAMACHO JUDITHFACILITY NUMBER:
343617896
ADMINISTRATOR:JUDITH CAMACHOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 607-5019
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY:14CENSUS: 11DATE:
03/26/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Judith CamachoTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Licensee allows facility to operate out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Loraine Perez and Andrea Cortez met with Licensee Judith Camacho, for the purpose of conducting an unannounced complaint investigation inspection pertaining to the above allegation. Present today are the Licensee and two assistants. There is a census of one infant and ten preschool children for a total of 11 children in care. The purpose of today's inspection was explained to Licensee. During today's inspection, LPAs conducted interviews, observed care, and obtained relevant documentation.
It is alleged that Licensee allows facility to operate out of ratio.
Based on LPAs observation, witness statements, and record review, the licensee left one assistant in care of ten children while away at an appointment. The assistant was alone for approxitmatly 30 minutes with ten children. A second assistant arrived later the morning of the inspection bringing the facility back into compliance.
The preponderance of evidence standard has been met, therefore the above allegations are SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2025
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 3
Control Number 03-CC-20250320145731
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: CAMACHO JUDITH
FACILITY NUMBER: 343617896
VISIT DATE: 03/26/2025
NARRATIVE
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The Licensee was informed that this report dated 03/26/2025 documents one Type A citation and must be posted for parental review for 30 consecutive days. The facility must also provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in each child's file for verification.

Exit interview was conducted and a copy of this report was given to the Licensee Judith Camacho. Notice of site was given and must remain posted for parental review for 30 days. Appeal rights were provided.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20250320145731
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: CAMACHO JUDITH
FACILITY NUMBER: 343617896
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/27/2025
Section Cited
CCR
102416.5(e)
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If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
This requirement is not met as evidenced by:
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Licensee stated she will ensure two assistants present when there are more than 6 or 8 children in care. LPA will return for a plan of correction inspection.
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Based on interviews licensee did not comply with the section cited above, Licensee left one assitant with ten children in care which poses an immediate risk to the health and safety of the children in care.
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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: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3