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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216444
Report Date: 03/09/2023
Date Signed: 03/09/2023 08:38:30 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
12/13/2022 and conducted by Evaluator Francisca Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20221213101021
FACILITY NAME:MICHEL FAMILY CHILD CAREFACILITY NUMBER:
426216444
ADMINISTRATOR:YESENIA MICHELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 458-9327
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: 13DATE:
03/09/2023
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Yesenia MichelTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Uncleared adult residing in the home
INVESTIGATION FINDINGS:
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On 03/09/23 at 12:20 PM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced inspection of the Family Child Care Home (FCCH) to deliver a finding with respect to the allegation noted above. LPA met with Yesenia Michel, Licensee of the FCCH and explained the nature and purpose of the investigation. LPA notes 13 children are present at the time of the inspection being cared and suervised by Licensee and assistant, Marisol Lopez.

The investigation included two site inspections, document reviews and interviews with the Licensee, as well as the parents of children in care.

Interviews, as well as LPA's observations did not corroborate the allegation noted above. During unannounced inspections LPA did not observe unclear adults in the home. Moreover, interviews with parents did not disclose witnessing other adults in the home other than licensee and licensee's assistants. CONT 9099-C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
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-20221213101021
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: MICHEL FAMILY CHILD CARE
FACILITY NUMBER: 426216444
VISIT DATE: 03/09/2023
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A Notice of Site Visit (LIC 9213) and Appeal Rights (LIC 9058) was provided to Licensee. The Notice of Site Visit must remain posted for 30 days.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2