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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216426
Report Date: 11/27/2024
Date Signed: 11/27/2024 05:06:00 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, 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
08/14/2024 and conducted by Evaluator Gigi Reyes
COMPLAINT CONTROL NUMBER: 17-CC-20240814103734
FACILITY NAME:SILVA MEDINA FAMILY CHILD CAREFACILITY NUMBER:
426216426
ADMINISTRATOR:ELIZABETH SILVA MEDINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 201-8992
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY:14CENSUS: DATE:
11/27/2024
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:TIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Licensee failed to ensure that day care children did not have access to hazardous items.
Licensee did not prevent the facility yard from being malodorous.
INVESTIGATION FINDINGS:
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On 11/27/2024 at 3:45 PM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unanounced inspection to conclude the investigation into the above complaint allegations. LPA obersed 6 daycare children, under the care of Licensee and assistant. LPA met with Licensee, Elizabeth Silva-Medina and explained the purpose of the inspection.

Regarding the allegation access to hazardous items. the department received a report that there were flying wood particles , fence boards with nails sticking out, which could be accessible to day care children.
During the 2 inspections conducted on 8/20/2024 and 11/27/2024, LPA Jimenez and LPA Reyes did not observed any hazardous items at the facility on two separate inspections. Also, no parents interviewed corroborated with the allegation.

Continued on LIC 809C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
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 2
Control Number 17-CC-20240814103734
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: SILVA MEDINA FAMILY CHILD CARE
FACILITY NUMBER: 426216426
VISIT DATE: 11/27/2024
NARRATIVE
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Regarding the malodorous yard, the complaint alleged that yard was malodorous due to a concrete dog run covered with feces and urine. It was reported that smell was present during day care hours. Upon inspection, LPA did not observe any unpleasant odor.

Interview with Licensee revealed that Animal Control had visited the home four (4) times to assess the condition of the dogs. Licensee stated that the inspection conducted by Animal Control Department did not find any evidence of dog maltreatment.

This investigation included LPAs' observation and interviews with parents, and interview with licensee, none of whom supported the above allegations.

Although the above 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 above allegations are Unsubstantiated.

Notice of Site Visit was issued and must posted for 30 days.

Exit interview conducted and report was reviewed with Licensee, Elizabeth Silva-Medina.

It was translated in Spanish by Licensee's niece, Jennifer Silva-Medina.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2