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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394501125
Report Date: 10/27/2025
Date Signed: 10/27/2025 04:25:42 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
10/22/2025 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20251022164343
FACILITY NAME:HELUS, ROXANNEFACILITY NUMBER:
394501125
ADMINISTRATOR:HELUS, ROXANNEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 581-3485
CITY:MANTECASTATE: CAZIP CODE:
95337
CAPACITY:14CENSUS: 0DATE:
10/27/2025
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Roxanne HelusTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Personal Rights: infant was found unresponsive
INVESTIGATION FINDINGS:
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** This report was mailed via certified mail to the licensed facility on October 27, 2025***

On Monday, October 27th, 2025, Regional Manager (RM) Roxana Saravia, Licensing Program Manager (LPM) Bettina Engelman, and Licensing Program Analyst (LPA) Stacey Williams attempted to meet with Licensee, Roxanne Helus to deliver the findings for the above complaint allegation. Investigator Brianna Abeyta from the Department’s Investigation Branch conducted the investigation. Licensing staff was unable to meet with Ms. Helus, therefore this report was mailed via certified mail.

There was an allegation of Personal Rights: infant was found unresponsive. Investigator Abeyta collaborated with the local law enforcement who are also involved in the investigation. On October 22nd, 2025, The Licensee was found to be under the influence of alcohol, testing at a blood alcohol level of approximately .19 while supervising children in care. Child 1 (C1), an infant, was found to be unresponsive while in care on this date and passed away during the course of the investigation.

Based on the evidence gathered throughout the course of this investigation, the above allegation was substantiated. The following type A Deficiency was cited on the subsequent page 9099-D. A $500 immediate civil penalty was also issued today. Appeal Rights were provided to the Licensee, and an exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
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-20251022164343
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: HELUS, ROXANNE
FACILITY NUMBER: 394501125
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/28/2025
Section Cited
CCR
102423(a)(2)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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The Department has taken legal action, and a Temporary Suspension Order (TSO) was issued to the Licensee today, 10/27/2025. An Enhanced Civil Penalty was also issued today, 10/27/2025.
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(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by: On October 22, 2025, The Licensee was found to be under the influence of alcohol, testing at a blood alcohol level of approximately .19, while supervising children in care. Child 1 (C1), an infant, was found to be unresponsive while in care. The infant has since passed away.
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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: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2