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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216603
Report Date: 12/16/2024
Date Signed: 12/16/2024 11:08:50 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
09/19/2024 and conducted by Evaluator Elizabeth George
COMPLAINT CONTROL NUMBER: 17-CC-20240919152043
FACILITY NAME:GONZALEZ FAMILY CHILD CAREFACILITY NUMBER:
426216603
ADMINISTRATOR:MARY C. GONZLAEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 695-6918
CITY:SANTA BARBARASTATE: CAZIP CODE:
93103
CAPACITY:14CENSUS: 8DATE:
12/16/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Mary GonzalezTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Child sustained injury while in care.
INVESTIGATION FINDINGS:
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On December 16, 2024 at 10:15 AM Licensing Program Analysts (LPAs) Elizabeth George and Susana Martinez conducted an unannouced inspection to deliver the findings of the above mentioned allegation. LPA met with Licensee Mary Gonzalez and advised her of the purpose of the inspection. At the time of the inspection there were 8 children in the care of licensee, her husband and one assistant.

The Department received a complaint alleging that a child received an injury while in licensee's care. The investigation included two unannounced inspections, LPA’s observations, interviews with licensee and interviews of former and current parents of children in care.

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 or Health and Safety Code.
Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024
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-20240919152043
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GONZALEZ FAMILY CHILD CARE
FACILITY NUMBER: 426216603
VISIT DATE: 12/16/2024
NARRATIVE
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Investigation revealed that a child (C1) in care sustained an injury requiring medical attention. Furthermore, the Licensee reported the unusual injury to the Department indicating a child pushed C1 causing C1 to fall and hit forehead on a corner baseboard tile. Parents of children formerly and presently in care who were interviewed had no concerns about the facility’s care and supervision within the home. All parents interviewed are satisfied with the level of care and supervision their children receive.

To prevent similar incidents from occurring the Licensee has taken precautionary steps to secure the play area. Licensee has installed rubber corner guards on all corners of home and placed toy storage near corners to prevent children from getting hurt.

During todays inspection a technical violation was issued.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted, appeal rights were given, and report was reviewed in Spanish with licensee, Mary Gonzalez.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2