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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500171
Report Date: 10/10/2022
Date Signed: 10/10/2022 05:29:15 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
08/11/2022 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220811165530
FACILITY NAME:GONZALEZ, MA NATIVIDADFACILITY NUMBER:
394500171
ADMINISTRATOR:GARCIA, NATIVIDADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 642-3525
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:14CENSUS: 9DATE:
10/10/2022
UNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Ma Natividad GonzalezTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Personal Rights-Licensee yells at day care children
Personal Rights-Licensee is rough with day care children
Personal Rights-Licensee sleeps during working hours
INVESTIGATION FINDINGS:
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On Monday, October 10th, 2022, at 04:45PM, Licensing Program Analyst (LPA) and Licensing program manager (LPM) Bettina Engelman met with the Licensee, Maria Natividad Gonzalez to deliver the finding for the above allegations. Present in the facility were 9 children being supervised by the Licensee and Licensee's husband.

During the investigation, LPA conducted interviews with parents, staff, children, observed the care and supervision and obtained pertinent documents. The complainant alleged that the Licensee yells at the children and handles children roughly. Also, the complainant alleged that Licensee sleeps during daycare hours. Licensee denied the allegations and stated that she is awake and there is always an adult present when children are awake during the day and when they are awake during overnight hours. Also Licensee stated that she uses time out as a discipline policy no more than one minute per the age of the child.

Report continues on subsequent page 809C--
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2022
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-20220811165530
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: GONZALEZ, MA NATIVIDAD
FACILITY NUMBER: 394500171
VISIT DATE: 10/10/2022
NARRATIVE
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Based on the conflicting information obtained throughout the course of this investigation the above allegations 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. An exit interview was conducted in which the report was reviewed and discussed with licensee.

An exit Interview was conducted with Licensee, Ma Natividad Gonzalez. A Notice of Site Visit was posted and must remain posted for 30 days. Appeal of Rights were provided.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2