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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393622672
Report Date: 06/09/2022
Date Signed: 06/09/2022 11:02:15 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/07/2022 and conducted by Evaluator Christopher Jackson
COMPLAINT CONTROL NUMBER: 53-CC-20220307153632
FACILITY NAME:DE TORRES GOMEZ, CELINAFACILITY NUMBER:
393622672
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
06/09/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Celina De Torres-GomezTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Individual smokes marijuana during daycare hours
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Christopher Jackson and Salene Mayberry met with Celina De Torres-Gomez on 06/09/22, to provide the finding for the above allegation. The complainant alleged that an “Individual smokes marijuana during daycare hours.” During the investigation, LPA conducted a file review of the facility, made observations and completed interviews with adults living in the home and several parents with children enrolled. Adult #1 denied the allegation and stated they do not smoke marijuana near the home or during day care hours. Collected interviews revealed inconsistent information.

Based on the evidence obtained, the above allegation could not be substantiated or dismissed. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the findings are UNSUBSTANTIATED.

Report Continues on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Christopher Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022
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-20220307153632
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: DE TORRES GOMEZ, CELINA
FACILITY NUMBER: 393622672
VISIT DATE: 06/09/2022
NARRATIVE
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No Title 22 deficiencies were cited at time of visit. Exit interview conducted and report was reviewed with the licensee. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
In the areas that were evaluated, no deficiencies were cited during today’s inspection.
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Christopher Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2