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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623750
Report Date: 03/27/2025
Date Signed: 03/27/2025 02:19:19 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
03/18/2025 and conducted by Evaluator Kyrsten Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250318101721
FACILITY NAME:MENDOZA, ESMERALDAFACILITY NUMBER:
343623750
ADMINISTRATOR:MENDOZA, ESMERALDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 807-8305
CITY:SACRAMENTOSTATE: CAZIP CODE:
95826
CAPACITY:14CENSUS: 8DATE:
03/27/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Esmeralda MendozaTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility was operating out of ratio.
INVESTIGATION FINDINGS:
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At approximately 9:00am on March 27, 2025, Licensing Program Analyst (LPA) Kyrsten Williams met with licensee, Esmeralda Mendoza, to conduct a complaint investigation. The purpose of the inspection was explained. Census included eight children being supervised by the licensee. At approximately 9:30am, licensee's assistant arrived at the facility.

It was alleged the facility was operating out of ratio. Throughout the course of the investigation, LPA made observations, conducted interview with licensee, and reviewed records. Upon arrival to the facility, LPA observed four children playing in the back room and four children in cribs. LPA completed a record review of facility roster and children's files for current children enrolled. LPA observed four children in care during time of inspection are under the age of two and considered to be infants. The remaining four children are preschool-age children. During interview, licensee confirmed she currently has four infants and four pre-school age children enrolled and attending child care.
PG. 1 - REPORT CONTINUES ON LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
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-20250318101721
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: MENDOZA, ESMERALDA
FACILITY NUMBER: 343623750
VISIT DATE: 03/27/2025
NARRATIVE
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LPA printed and reviewed regulations for small family child care home capacity, large family child care home capacity, assistant/staffing requirements, and personnel requirements.

Based on the information gathered the department has found the allegation facility was operating out of ratio. to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.

As a result of the substantiated allegations, a deficiency is cited on the subsequent page of this report (LIC9099-D) under the California Code of Regulations, Title 22. The licensee was provided a copy of their Appeal Rights (LIC9058) and the licensee's signature on this form acknowledges receipt of these rights.

LPA Williams informed the licensee to provide a copy of this licensing report dated 03/27/2025 that documents any Type A citation(s) 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 (LIC9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the licensee, Esmeralda Mendoza. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20250318101721
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: MENDOZA, ESMERALDA
FACILITY NUMBER: 343623750
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/28/2025
Section Cited
CCR
102416.5(e)
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102416.5 Staffing Ratio and Capcity (e) 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 evidence by:
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Licensee stated she has already started to work with parents on creating an alternate schedule for children. Licensee is in the process of hiring an additional assitant to be present. LPA will return to observe the facility is in compliance with staffing ratio and capacity requirements.
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Based on observation, interview, and record review, the licensee did not comply with the section cited above as LPA observed four infants and four preschool-age children being supervised the licensee, which poses an immediate health, safety or personal rights risk to persons 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: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3