<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384001499
Report Date: 03/24/2022
Date Signed: 03/24/2022 03:01:58 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/06/2021 and conducted by Evaluator Sheran Lo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20211206111535
FACILITY NAME:FUENTES, ISOLINAFACILITY NUMBER:
384001499
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
03/24/2022
UNANNOUNCEDTIME BEGAN:
01:02 PM
MET WITH:Isolina FuentesTIME COMPLETED:
02:48 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Adult in home inappropriately touched daycare child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/24/22, Licensing Program Analyst (LPA) Sheran Lo met with Licensee Isolina Fuentes for this conclusionary complaint visit and explained purpose. The above allegation was discussed with Licensee. Present were 3 children with Licensee and helper. Allegation was investigated by the Department’s Investigations Branch IB).

During the course of investigation, IB, Investigator conducted interviews with Licensee, Children, and Guardians. Based on the Investigations Branch (IB) findings, there was no sufficient evidence to prove the adult living in home inappropriately touched day care child. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

LPA conducted exit interview with Licensee. Report and Notice of Site Visit will be emailed to fuentesnancy228@gmail.com by the end of business day. Notice of Site Visit shall be posted for 30 consecutive days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sheran LoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
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