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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414001759
Report Date: 12/04/2024
Date Signed: 01/06/2025 03:12:09 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/07/2024 and conducted by Evaluator Maria Olguin-Leon
COMPLAINT CONTROL NUMBER: 05-CC-20241007233813
FACILITY NAME:CHAVEZ, MONICA & AVILES, MONICAFACILITY NUMBER:
414001759
ADMINISTRATOR:CHAVEZ, MONICA & AVILES, MFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 568-9845
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY:14CENSUS: 11DATE:
12/04/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Monica AvilesTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Licensee is operating beyond the terms and conditions of the license
INVESTIGATION FINDINGS:
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On December 4, 2024 @ approx. 9:20am, Licensing Program Analyst (LPAs) Maria Olguin-Leon and Melissa Zaragoza, conducted an unannounced visit to close the complaint investigation into the above allegation and met with Licensee Monica Aviles. Present during today’s visit was both licensees, two helpers, and 11 children (1 infant and 10 preschool age).

During the course of the investigation, LPAs inspected facility, conducted interviews, conducted observations, and reviewed pertinent documentation provided. Based on evidence obtained, it was determined that the allegation, Licensee is operating beyond the terms and conditions of the license, is determined to be SUBSTANTIATED.

Based on investigation and information gathered, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Type “A” violation were issued today in accordance to the California Code of Regulations, Title 22, Division 12, Chapter 1, citations are being cited on the attached LIC9099D.

A civil penalty is being assessed due to a repeat violation, licensee had been previously cited for over capacity within the last year on December 12, 2023.

(Continued on page 2 ...)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
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 3
Control Number 05-CC-20241007233813
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: CHAVEZ, MONICA & AVILES, MONICA
FACILITY NUMBER: 414001759
VISIT DATE: 12/04/2024
NARRATIVE
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LPAs Olguin-Leon and Zaragoza informed licensee Monica Aviles that this report dated December 4, 2024 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPAs Olguin-Leon and Zaragoza informed the licensee Monica Aviles to provide a copy of this licensing report dated December 4, 2024, that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

This report and exit interview were conducted and appeal rights was given to Licensee, Monica Aviles.

Notice of Site Visit shall remain posted for 30 days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. This report is public and can be reviewed.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 05-CC-20241007233813
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CHAVEZ, MONICA & AVILES, MONICA
FACILITY NUMBER: 414001759
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/05/2024
Section Cited
CCR
102416.5(a)
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102416.5 Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:
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LPAs discussed capacity limits with licensee and provided licensee with capacity limits document. Per Licensee, children attending part time have been dismissed and licensee will not be accepting any new children and will stay within capacity limits.

Office meeting to be scheduled
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Based on record review, interview and observations, conducted during the course of the complaint investigation, LPAs confirmed licensee has been operating over capacity, which poses an immediate health, safety, or personal rights risk to children in care.
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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: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3