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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343621823
Report Date: 01/03/2024
Date Signed: 01/03/2024 03:00:28 PM

Unsubstantiated


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
10/30/2023 and conducted by Evaluator Lea Habtom
COMPLAINT CONTROL NUMBER: 03-CC-20231030092600
FACILITY NAME:VALENCIA, EMILIAFACILITY NUMBER:
343621823
ADMINISTRATOR:VALENCIA, EMILIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 648-1661
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY:14CENSUS: 2DATE:
01/03/2024
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Emilia ValenciaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Infant in care sustained unexplained scratches
Licensee overfed infant in care
Licensee did not maintain a comfortable facility temperature for children in care
INVESTIGATION FINDINGS:
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On January 3, 2024 Licensing Program Analysts (LPA) Lea Habtom made an unannounced inspection to the facility. The purpose of today’s inspection is to close the complaint investigation. LPA met with the licensee, Emilia Valencia, to close the complaint. There was a census of the 2 preschool children being supervised by the licensee. All staff present today have been fingerprint cleared and associated to the facility.

Infant in care sustained unexplained scratches

During the investigation, LPA Habtom conducted interviews and observation regarding the allegation that the infant in care sustained unexplained scratches. LPA Habtom received conflicting information from interviews with the reporting party, the licensee and the assistant. LPA Habtom was unable to gather enough information to validate the allegation that infant in care sustained unexplained scratches therefore the allegations is to be UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur.

Report continued on 9099-C


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2024
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-20231030092600
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: VALENCIA, EMILIA
FACILITY NUMBER: 343621823
VISIT DATE: 01/03/2024
NARRATIVE
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Licensee overfed infant in care

During the investigation, LPA Habtom conducted interviews and observation regarding the allegation that licensee overfed infant in care. LPA Habtom was unable to gather written direction that specified how much to feed the infant to prove if the infant was overfed therefore the allegations is to be UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur.

Licensee did not maintain a comfortable facility temperature for children in care

During the investigation, LPA Habtom conducted interviews and observation regarding the allegation that the licensee did not maintain a comfortable facility temperature for children in care. Based on LPA’s observation the home was warm, and the thermostat was set at 72. LPA Habtom was unable to gather enough information to validate the allegation that licensee did not maintain a comfortable temperature when the child was in care therefore the allegation is to be UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur.

No Title 22 regulations were cited during today's inspection. This report was reviewed with licensee Emilia Valencia. A notice of site visit was provided to be posted for 30 days. Appeal rights provided.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2