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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415486
Report Date: 07/18/2025
Date Signed: 07/18/2025 12:40:23 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/10/2025 and conducted by Evaluator Deanna Villagrana
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250610132613
FACILITY NAME:CETINA DE NOVOA, CORINAFACILITY NUMBER:
434415486
ADMINISTRATOR:CETINA DE NOVOA, CORINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(669) 208-5693
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:14CENSUS: 11DATE:
07/18/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Corina Cetina De NovoaTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Licensee does not reside at the facility
INVESTIGATION FINDINGS:
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On 07/18/2025. Licensing Program Manager (LPM) Deanna Villagrana conducted an unannounced complaint inspection to deliver findings. LPM met with licensee Corina Cetina De Novoa and explained the nature of the inspection. A tour of the facility was conducted, and census was taken.

During the course of the investigation, LPM interviewed children and parents, conducted observations, reviewed records, and obtained copies of records to gather additional information to investigate the above allegation. The findings provided corroborating information supporting the allegation that the licensee does not reside at the facility. Interviews confirmed that the licensee resides at a separate residence with her spouse.

Based on the information gathered through interviews, records reviewed, and observations, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulation, Title 22, Division 12 Chapter 3 the following deficiency is being cited please see attached LIC 9099-D. Licensee Corina Cetina De Novoa was provided a copy of appeal rights.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
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 3
Control Number 07-CC-20250610132613
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CETINA DE NOVOA, CORINA
FACILITY NUMBER: 434415486
VISIT DATE: 07/18/2025
NARRATIVE
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guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee Corina Cetina De Novoa. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20250610132613
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: CETINA DE NOVOA, CORINA
FACILITY NUMBER: 434415486
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
07/19/2025
Section Cited
CCR
102352(f)(1)
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"Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away. The term "Family Child Care" supersedes the term "Family Day Care" as used in previous regulations
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Licensee will submit a plan stating how she will come into compliance with regulation to CCLD by POC date.
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This requirement was not met as evidenced by: Based on the information gathered through interviews, records reviewed, and observations it was determined the licensee is not living in the home where care is being provided to children. This is an immediate health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3