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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393609167
Report Date: 11/08/2023
Date Signed: 11/08/2023 03:11:27 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
09/05/2023 and conducted by Evaluator Tiffanie Diep
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20230905125554
FACILITY NAME:AVILA, BARBARAFACILITY NUMBER:
393609167
ADMINISTRATOR:BARBARA AVILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 814-8945
CITY:MANTECASTATE: CAZIP CODE:
95337
CAPACITY:14CENSUS: 3DATE:
11/08/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Barbara AvilaTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Personal Rights - Provider's conduct poses a risk to day care child in care
INVESTIGATION FINDINGS:
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On 09/08/2023 at 2:45 PM, Licensing Program Analysts (LPAs) Tiffanie Diep and Elizabeth Santiago met with Licensee Barbara Avila for the purpose of an unannounced complaint visit to deliver the finding regarding the above allegation. LPAs observed Licensee and their spouse/assistant supervising three children in the Family Child Care Home.

It was alleged that the provider’s conduct poses a risk to a day care child in care. Throughout the course of the investigation, LPA Tiffanie Diep made observations at the facility, obtained relevant documents, and conducted interviews with the reporting party, Licensee, and multiple parents.

Continues on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023
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 53-CC-20230905125554
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: AVILA, BARBARA
FACILITY NUMBER: 393609167
VISIT DATE: 11/08/2023
NARRATIVE
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Continued from 9099 (Page 2)

During a previous visit, LPA Tiffanie Diep did not observe immediate or potential risks to children in care. Interviews conducted did not disclose concerns of feeling threatened by Licensee. It was revealed that parents expressed feeling uncomfortable regarding the quality of care and inconsistencies with Licensee’s policies. Information obtained did not reveal incidents of children in care whose personal rights were violated, such as sustaining marks or interference with eating or toileting. It was revealed that other adults associated to the facility have criminal record clearances and provide assistance to Licensee when they are temporarily absent. Interviews conducted did not disclose sufficient information that was evident to support the allegation that the provider’s conduct poses a risk to a day care child in care.

Based on observations made at the facility, information obtained during interviews, and records reviewed, it is determined that the allegation could not be substantiated or dismissed. Although the allegation might have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted and report was reviewed with the licensee, Barbara Avila. A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2