394500168-2-23-2023-53-CC-BENN-CPRM52-20230309081737

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 394500168
Report Date: 02/23/2023
Date Signed: 02/23/2023 02:35:23 PM

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
12/13/2022 and conducted by Evaluator Stacey Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20221213151038

FACILITY NAME:	AMBRIZ, JESSICA		FACILITY NUMBER:	394500168
ADMINISTRATOR:	AMBRIZ, JESSICA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 608-0039
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95215
CAPACITY:	14	CENSUS: 11	DATE:	02/23/2023
		UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Jessica Ambriz		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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License: Licensee denies authorized representative access to the home
Care/Supervision: Daycare child is not provided adequate supervision while in care
License:Licensee is operating out of ratio
Care/Supervison: Licensee does not properly observe ill children while in care

INVESTIGATION FINDINGS:

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On February 23, 2023, Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Licensee, Jessica Ambriz. LPA observed eleven (11) children, (one infant) supervised by Licensee and her two Assistants. Criminal record clearances have been verified.

LPA conducted an investigation regarding the complaint allegations listed above. During the course of the investigation, the facility was toured, and interviews were conducted with the Reporting Party, Licensee, and parents of children attending the childcare facility. Additional pertinent information was received to assist with the investigation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 53-CC-20221213151038

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: AMBRIZ, JESSICA	FACILITY NUMBER: 394500168
	VISIT DATE: 02/23/2023

NARRATIVE

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Licensee denied all allegations. Licensee reported that all parents are welcomed into the home which is stated in the “open door policy” section in her parent handbook. Licensee explained that she kept the drop off and pick up procedures that were adopted during the covid-19 guidance period because it worked well. Licensee stated that all parents are allowed into her home, however, most do not enter on a regular basis because they are comfortable with the drop off and pick up process at the front door. Licensee reported that she has two Assistants working at all times which helps with providing additional care and supervision as well as maintain ratio guidelines. Licensee reported that she has an extensive facility handbook that includes her policies concerning illness, diapering/potty training, entry into the facility and communication with parents/authorized representatives. This handbook is discussed during the enrollment meeting.

Inconsistent statements were received from individuals interviewed.

Based on the evidence received, the allegations are determined to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur.

No Title 22 deficiencies have been cited for this complaint.

An Exit Interview was conducted in which the report was reviewed and discussed with Licensee, Jessica Ambriz. Appeal rights provided. 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.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023

LIC9099 (FAS) - (06/04)

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