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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393614483
Report Date: 08/30/2024
Date Signed: 08/30/2024 10:44:18 AM

Substantiated


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
08/27/2024 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240827104642
FACILITY NAME:MONTOYA, VANESAFACILITY NUMBER:
393614483
ADMINISTRATOR:MONTOYA, VANESAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 951-3448
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:14CENSUS: 6DATE:
08/30/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Vanesa MontoyaTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Neglect/Lack of Supervision-Daycare child wandered away from facility
INVESTIGATION FINDINGS:
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On 08/30/24, Licensing Program Analyst(LPA) Elvira Sierra conducted a complaint investigation inspection regarding the above allegation and met with Licensee, Vanesa Montoya. Present in the facility was Licensee caring for six children.
During the investigation LPA Sierra conducted interviews, review pertaining documents, and observed the care and supervision of the children. Complainant reported that a child wandered away from the facility. The evidence obtained revealed that Child #1’s was found by himself in the neighbor’s front yard and the Department were not notified in a timely manner of the event. Licensee stated that the back gate was left open by the facility gardeners during outdoor activities. Licensee stated that she will take extra precautionary measures on the fencing to make sure this incident does not happen again.
Based on LPA’s interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D.
Report continues on subsequent page 809C--
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024
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 3
Control Number 53-CC-20240827104642
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: MONTOYA, VANESA
FACILITY NUMBER: 393614483
VISIT DATE: 08/30/2024
NARRATIVE
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Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.
An Exit Interview was conducted in which the report and Appeal of Rights were reviewed and discussed with Licensee, Vanesa Montoya. Notice of Site Visit posted.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20240827104642
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: MONTOYA, VANESA
FACILITY NUMBER: 393614483
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/31/2024
Section Cited
CCR
102417(a)b
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102417 Operation of a Family Child Care Home(a) The licensee shall be present in the home and shall ensure that children in care are always supervised…. This regulation was not met as a child wandered away from the family childcare home on 08/21/24 and was found alone by a passing pedestrian in the neighbor’s front yard.
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POC;Licensee will replace the entire gate that leads to the street, which will prevent any child to open the door and will not have the access to the front street.

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This poses an immediate health and safety risk to children in care. See next page for civil penalties assessed today.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3