414004982-8-3-2023-05-CC-MROZ-CULM72-20230811092047

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414004982
Report Date: 08/03/2023
Date Signed: 08/03/2023 03:02:58 PM

Unsubstantiated

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
05/11/2023 and conducted by Evaluator Leslit Tapia-Mandujano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230511084329

FACILITY NAME:	VAZQUEZ, MARIA ISABEL		FACILITY NUMBER:	414004982
ADMINISTRATOR:	VAZQUEZ, MARIA ISABEL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 284-9261
CITY:	EAST PALO ALTO	STATE: CA	ZIP CODE:	94303
CAPACITY:	14	CENSUS: 4	DATE:	08/03/2023
		UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Licensee, Maria Isabel Vazquez		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Licensee hits day care children.
Licensee handles daycare children in a rough manner.

INVESTIGATION FINDINGS:

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On August 3rd, 2023 at approximately 1:10pm, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, complaint investigation. LPA was granted entrance by assistant, Jose Pablo Diaz Lopez. Licensee arrived approximately 5 minutes later. LPA explained the puprpose of inspection with Licensee, Maria Isabel Vazquez and explained the above allegations. LPA and licensee toured the facility for health and safety hazards. LPA also obtained an updated Children's roster copy.

Complaint was received by the Department on 05/11/23. Present in the facility are licensee and licensee's assistant caring for 4 children (3 infants and 1 preschool age). All adults present in the facility have fingerprint clearance and are associated with the facility.

During the course of the investigation, LPA conducted interviews with involved parties and received pertinent documentation. LPA did not have enough information to determined that licensee hit daycare children and/or that licensee handles daycare children in a rough manner.

Although the allegation above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the above allegations are UNSUBSTANTIATED.

Upon receipt of this report, Licensee shall post the Notice of Site Visit. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain postings as required, will result in an immediate $100 civil penalty. This report is public and can be reviewed.

After today’s visit, an exit interview was conducted, report was reviewed and copy was provided to licensee, Maria Isabel Vazquez.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

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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