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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343625386
Report Date: 08/19/2025
Date Signed: 08/19/2025 11:15:33 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
06/13/2025 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20250613114026
FACILITY NAME:MARIN, MARIA ELENAFACILITY NUMBER:
343625386
ADMINISTRATOR:MARIN, MARIA ELENAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 834-1492
CITY:SACRAMENTOSTATE: CAZIP CODE:
95829
CAPACITY:14CENSUS: 10DATE:
08/19/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maria Elena MarinTIME COMPLETED:
11:15 PM
ALLEGATION(S):
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Staff did not intervene when another child's parent disciplined a child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Maria Elena Marin (Representative) to conduct an unannounced subsequent complaint investigation inspection pertaining to the above allegations. The purpose of today's inspection was explained. During the investigation, LPA observed care, reviewed facility documents, and conducted interviews with children, staff, and parents.

Based on multiple witness statements, facility staff allowed a parent to discipline someone else’s child. Multiple witnesses stated a parent pulled a child out from under a low table, picked up the child, and tried to make the child apologize to another child, causing no injury to the child. Multiple witnesses stated the staff stood by and watched this. Based on multiple corroborating witness statements, staff did not intervene when another child’s parent disciplined a child. The preponderance of evidence standard has been met; therefore, the above allegation is SUBSTANTIATED. Exit interview was conducted and a copy of this report was given to the Facility Representative. Notice of site was given and must remain posted for parental review for 30 days. Appeal rights were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 03-CC-20250613114026
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: MARIN, MARIA ELENA
FACILITY NUMBER: 343625386
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/28/2025
Section Cited
CCR
102423(1)
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102423 (a) Each child receiving services ... shall have certain rights that shall not be waived or abridged ... These rights include, but are not limited to, (1)To be treated with dignity in his/her personal relationship with staff and other persons. This requirement was not met as evidenced by
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Licensee stated staff have been retrained to ensure behavior management is handled by staff. Licensee has also stated she will review patternsof childrne's behavior to ensure she is proactively safeguarding the safety and well-being of all children in care. POC met.
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 multiple witness statements that staff failed to intervene when a child (Child1) was disciplined by the parent (Client2) of another child (Child2). This consitutes a potential risk to the health, safety, and/or personal rights of 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: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025
LIC9099 (FAS) - (06/04)
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