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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004682
Report Date: 01/13/2026
Date Signed: 01/13/2026 01:05:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 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
10/28/2025 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20251028185508
FACILITY NAME:RAMIREZ ORTIZ, ANGELICA M.FACILITY NUMBER:
384004682
ADMINISTRATOR:RAMIREZ ORTIZ, ANGELICA M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(407) 285-4142
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 9DATE:
01/13/2026
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Angelica Ramirez OrtizTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff did not provide adequate supervision of child in care.
INVESTIGATION FINDINGS:
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On 1/13/2026 at 8:45AM., Licensing Program Analyst (LPA) Luis Gomez met with Licensee, Angelica Ramirez Ortiz. The purpose of today’s inspection was explained and was for an unannounced, complaint inspection. Present was licensee, and 3 assistants caring for 9 children. LPA inspection facility for health and safety hazards.

During today’s inspection, LPA conducted interviews, reviewed records, and performed observation.
During the course of this investigation, LPA conducted observations on 1/13/2026. A review of facility records was complete, which included licensee, staff, and children’s files. The LPA conducted interviews with licensee and staff. (REFER TO LIC9099C, FOR CONT.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
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 05-CC-20251028185508
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: RAMIREZ ORTIZ, ANGELICA M.
FACILITY NUMBER: 384004682
VISIT DATE: 01/13/2026
NARRATIVE
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(PAGE 2)
Based on evidence collected, LPA was unable to determine if staff did not provide adequate supervision of child in care. During interview, licensee stated children in care receive constant visual supervision at all times.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the complaint is Unsubstantiated.

LPA conducted exit interview with licensee, Angelica Ramirez Ortiz and complaint report was explained. The Notice of Site Visit, and provider rights will be given. LPA was unable to print reports during visit. Copy of reports will be sent at a later date.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2