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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393621694
Report Date: 10/07/2025
Date Signed: 10/07/2025 01:52:02 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
08/22/2025 and conducted by Evaluator Carla Polanco Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20250822084701
FACILITY NAME:CRUZ, LUZ & NESTORFACILITY NUMBER:
393621694
ADMINISTRATOR:CRUZ, LUZ & ABURTO RIOS, RFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 507-9320
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:14CENSUS: 6DATE:
10/07/2025
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Licensee Luz CruzTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Personal rights- Child sustained unexplained injury.
INVESTIGATION FINDINGS:
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On 10/7/25, Licensing Program Analyst Carla Polanco (LPA) conducted an unannounced field visit to deliver the findings for the above allegation. LPA met with Licensee Luz Cruz and was granted entry into the Family Child Care Home (FCCH).

It was alleged that a child sustained an unexplained injury while in care. Throughout the course of the investigation, LPA conducted interviews with daycare children, parents and daycare staff, as well as reviewed pertinent information. Interviews conducted with children did not reveal any concerns with the care children receive in the FCCH. Children interviewed stated that they are happy and feel safe in care, and that they like the Licensee and Licensee's assistant. Interviews with Licensee revealed that she communicates all incidents and concerns involving children to their parents or guardians. Furthermore, Interviews with daycare parents revealed that they are notified by the Licensee of incidents or concerns regarding their children or the daycare. Parents interviewed stated that they are happy with care, and have no concerns about the Licensee or the FCCH.
Report continued on LIC9099-C....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2025
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-20250822084701
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: CRUZ, LUZ & NESTOR
FACILITY NUMBER: 393621694
VISIT DATE: 10/07/2025
NARRATIVE
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 Due to a lack of evidence, the above allegation was found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur. An exit interview was conducted with Licensee and Appeal Rights were provided. A Notice of Site Visit was posted by LPA and shall remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2