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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393614282
Report Date: 04/30/2024
Date Signed: 04/30/2024 03:32:27 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
03/06/2024 and conducted by Evaluator Carla Polanco Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240306164513
FACILITY NAME:FERNANDEZ, LETICIAFACILITY NUMBER:
393614282
ADMINISTRATOR:FERNANDEZ, LETICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 477-5886
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:14CENSUS: 1DATE:
04/30/2024
UNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Licensee Leticia FernandezTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Neglect/Lack of Supervision: Due to lack of supervision daycare child sustained injuries while in care.
Personal rights: Licensee did not seek medical attention for daycare child in timely manner.
Food services: Licensee did not ensure daycare children were fed adequately while in care.
INVESTIGATION FINDINGS:
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On 4/30/24, Licensing Program Analyst's (LPAs) Carla Polanco and Corina Beckby met with Licensee, Letcicia Fernandez to provide the finding for the above allegations. During the investigation process, LPA conducted interviews and obtained supporting information pertinent to the investigation.

It was alleged that, "due to lack of supervision, a child got hurt while in care" and "that Licensee did not seek medical attention for said injury in a timely manner". LPA learned through interviews with both the Reprting Party and the Licensee that the licensee was not aware that the child got hurt. Per both parties, the child did not notify Licensee of the injury while in care. In addition, it was alleged that, "the Licensee did not ensure children were adequately fed, while in care". Through interviews with the Reporting Party and the Licensee, LPA received conflicting information regarding the terms of the agreement both parties came up with in regards to childrens meals while in care.

Report continues on LIC9099-C...................
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
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-20240306164513
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: FERNANDEZ, LETICIA
FACILITY NUMBER: 393614282
VISIT DATE: 04/30/2024
NARRATIVE
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Per Licensee, due to the children's diet, parents were asked and agreed to provide meals for the children. Per Reporting Party Licensee stated that she would provide meals for the children. Furthermore, LPA interview with a day-care child revealed that the Licensee provides meals to children while they are in her care.

Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the findings are UNSUBSTANTIATED.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2