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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216545
Report Date: 09/05/2023
Date Signed: 09/05/2023 04:19:37 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
06/07/2023 and conducted by Evaluator Francisca Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230607161636
FACILITY NAME:HERNANDEZ LEYVA FCCHFACILITY NUMBER:
426216545
ADMINISTRATOR:EMMA HERNANDEZ LEYVAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 332-7563
CITY:GUADALUPESTATE: CAZIP CODE:
93434
CAPACITY:14CENSUS: 9DATE:
09/05/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Emma Hernandez LeyvaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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1.) Staff spoke inappropriately to children in care
INVESTIGATION FINDINGS:
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On 09/05/23, Licensing Program Analyst (LPA) Francisca Velazquez made an unannounced inspection to the Family Child Care Home (FCCH) for the purpose of delivering the finding regarding the above allegation. LPA met with Emma Hernandez, Licensee of the FCCH and explained the nature of the inspection. LPA notes there were nine (9) children on site at the time of the inspection.

The investigation included two unannounced inspections, interview of the licensee and spouse, interview with complainant, children’s interviews, and interviews with parents of currently enrolled children and previously enrolled children in the FCCH.

Unannounced inspections, children’s interview as well as parent’s interview did not corroborate the allegation noted above. Interview with children reported that they enjoy attending the FCCH and overall feel safe in this home. Children reported licensee and assistant/spouse speak to them well and provide proper care and supervision to them. CONT 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023
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-20230607161636
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: HERNANDEZ LEYVA FCCH
FACILITY NUMBER: 426216545
VISIT DATE: 09/05/2023
NARRATIVE
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Parent interviews revealed that parents are satisfied with the services their children receive at the FCCH. Finally interview with licensee and spouse revealed that there was a conversation that occurred where assistant shared personal point of view regarding family values that was misinterpreted by children in care. Although children felt saddened by the assistant’s point of view, assistant reported their comment was in general and not directed at children in care, therefore children personal rights were not violated.

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) were provided to the Licensee. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

LPA Velazquez reviewed this report with Licensee, Emma Hernandez in Spanish due to Spanish being the primary language of the licensee.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2