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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004876
Report Date: 10/21/2025
Date Signed: 10/21/2025 01:45:34 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
07/02/2025 and conducted by Evaluator Luis Gomez
COMPLAINT CONTROL NUMBER: 05-CC-20250702115826
FACILITY NAME:GARCIA GUZMAN, MARIAFACILITY NUMBER:
384004876
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
10/21/2025
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Maria Elena Garcia GuzmanTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
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9
Lack of supervision resulted in day care child sustaining injury
INVESTIGATION FINDINGS:
1
2
3
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5
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9
10
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13
On 10/21/2025 at 12:25PM., Licensing Program Analyst (LPA), Luis Gomez conducted an unannounced, subsequent complaint inspection to discuss the above allegation with Licensee, Maria Elena Garcia Guzman. The purpose of inspection was explained. Present was the Licensee and assistant caring for 5 children (3 infant-age, 2 preschool-age). The allegation was investigated by Department’s Investigations Branch (IB).

During the course of this investigation, I.B. Investigator conducted interviews with licensee, staff, guardians, children, and obtained medical reports. Although the allegation of lack of supervisor resulted in day care child sustaining injury may have happened or is valid; Based on the evidence obtained, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is found to be Unsubstantiated.

An exit interview was conducted with licensee, Maria Elena Garcia Guzman. The provider appeal rights were explained. The Notice of Site Visit must be posted for 30-days.
LPA was unable to print report during visit. Copy of report will be sent to licensee at a later date.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
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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