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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426210490
Report Date: 10/27/2023
Date Signed: 10/27/2023 12:56:16 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/02/2023 and conducted by Evaluator Giovani Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230802142358
FACILITY NAME:GUTIERREZ FCC AKA ELENA'S DAYCAREFACILITY NUMBER:
426210490
ADMINISTRATOR:ROSA GUTIERREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 291-6971
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:14CENSUS: 6DATE:
10/27/2023
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Rosa Elena Gutierrez TIME COMPLETED:
01:10 PM
ALLEGATION(S):
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License - Licensee is operating beyond the terms and conditions of the license
INVESTIGATION FINDINGS:
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On October 27 2023, Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced inspection to conclude a complaint investigation. LPA met with Licensee Rosa Elena Gutierrez and informed them the purpose of the inspection. At the time of the inspection there were 6 children in care.

Interviews with the Licensee and Parents were conducted. Licensee stated that during the summer their daughter was assisting with care and was always present. During the first visit LPA observed that the Licensee's daughter was assisting in providing care. Interview with parents revealed that they did not have any issues with the care being provided and that the parents do not see more children than that allowed by the License. Based on the information obtained, a preponderance of evidence could not be established to support the above-mentioned allegation. Therefore the above-mentioned allegation is UNSUBSTANTIATED.


CONTINUED PAGE 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
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 17-CC-20230802142358
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GUTIERREZ FCC AKA ELENA'S DAYCARE
FACILITY NUMBER: 426210490
VISIT DATE: 10/27/2023
NARRATIVE
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Although the allegations may have happened or are valid there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore the allegations are deemed unsubstantiated.

Exit interview was conducted and report was reviewed with Licensee. Notice of Site Visit was given.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2