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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416737
Report Date: 02/28/2023
Date Signed: 02/28/2023 01:58:05 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/24/2023 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230224114332
FACILITY NAME:ROSIER, RACELFACILITY NUMBER:
434416737
ADMINISTRATOR:RACEL ROSIERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(669) 208-9722
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY:14CENSUS: 9DATE:
02/28/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Racel Rosier & Randy RosierTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Day-care child wandered outside of the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Marilou Monico and Ashley Lopez, conducted an unannounced complaint inspection. LPA met with Licensee, Racel Rosier, and her husband, Randy Rosier, and discussed the above allegation.

LPAs toured the facility, interviewed licensee, her husband and her adult helper, reviewed records, and obtained copy of documents. Based on interviews, it was determined that on February 7, 2023, a day-care child wandered outside of the facility and found by a parent who was picking up a child, thus, the above allegation is SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

Deficiency was cited on the following page:

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2023
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 07-CC-20230224114332
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ROSIER, RACEL
FACILITY NUMBER: 434416737
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/01/2023
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home - The licensee shall be present in the home and shall ensure that children in care are supervised at all times.
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Licensee agreed to submit a written plan by 03/01/23 detailing what she have done to prevent this incident from occurring again in the future and how she will ensure that children are provided with adequate supervision at all times.
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This requirement was not met as evidenced by:
LPAs learned from interviews that on 02/07/23, a day-care child wandered outside the facility and found by a parent who was picking up a child. This poses an immediate risk to the health, safety, and personal rights of children in care.
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Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.
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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: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2