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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444406227
Report Date: 04/28/2026
Date Signed: 04/28/2026 02:57:11 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
02/09/2026 and conducted by Evaluator Elizabeth Larios
COMPLAINT CONTROL NUMBER: 07-CC-20260209132655
FACILITY NAME:FERNANDEZ, ROSALIAFACILITY NUMBER:
444406227
ADMINISTRATOR:FERNANDEZ, ROSALIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 763-2095
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 0DATE:
04/28/2026
UNANNOUNCEDTIME BEGAN:
02:08 PM
MET WITH:Rosalia Fernandez TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Provider does not report incidents to day care child's responsible party.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Larios conducted an unannounced complaint investigation to deliver complaint findings. LPA met with Licensee Rosalina Fernandez and informed her of the purpose of visit.

The Department received a complaint alleging provider does not report incidents to day care child's responsible party. During the investigation, LPA toured the indoor & outdoor area of the facility, conducted interviews, and obtained relevant documents.

Based on interviews and information obtained during the investigation, several children in care sustained bite injuries that were not reported to their authorized representatives. Multiple injuries were discovered by families after the children returned home, and photographic evidence showed bite marks occurring from August 2025 through February 2026.

====CONTINUE ON LIC 9099-C====
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
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 5
Control Number 07-CC-20260209132655
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: FERNANDEZ, ROSALIA
FACILITY NUMBER: 444406227
VISIT DATE: 04/28/2026
NARRATIVE
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Information gathered indicated that biting incidents happened frequently and that notification to families did not consistently occur. The Licensee acknowledged that notification was not made in at least one incident and that required incident reports were not completed or submitted to the Department. The evidence demonstrates that incidents affecting children’s health and safety were not reported as required. Based on the information gathered through interviews, and information obtained during the investigation, The Department found that the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Type B deficiency was cited today as a result of the complaint investigation and is noted on the attached page LIC 9099-D. Exit interview was conducted and report was reviewed with Licensee, Rosalia Fernandez. Appeal Rights were given.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20260209132655
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: FERNANDEZ, ROSALIA
FACILITY NUMBER: 444406227
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/05/2026
Section Cited
CCR
102416.2(f)(1)
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Reporting Requirements
(f) As soon as possible but no later then the same business day, the licensee shall notify a child's parent or authorized representative regardless of the injuries or acts that affect that child as specified in Health and Safety Code Section 1597.467(a). (1) Any injury suffered by a child in care shall be reported to that child's parent or authorized representative regardless of treatment by a medical professional. This requirement is not met as evidence by.
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Licensee shall submit a written plan describing how all incidents will be reported to authorized representatives immediately, and how all incidents will be documented according to regulation. Licensee shall complete the training videos (Child Care Reporting Requirements) at ccld.childcarevideos.org. The written plan shall be submitted to the Department by the POC due date.
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Based on interviews and information obtained during the investigation, the licensee did not report multiple incidents in which children sustained bites while in care. Several bites were discovered by authorized representatives after the children returned home, and photographic evidence showed bite marks occurring on multiple dates. Information gathered indicated that biting incidents occurred frequently and that Licensee did not consistently notify authorized representatives or complete required incident reports. Failure to report incidents as required poses a potential risk to the health, safety, and personal rights of 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: Mireya Flores
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
02/09/2026 and conducted by Evaluator Elizabeth Larios
COMPLAINT CONTROL NUMBER: 07-CC-20260209132655

FACILITY NAME:FERNANDEZ, ROSALIAFACILITY NUMBER:
444406227
ADMINISTRATOR:FERNANDEZ, ROSALIAFACILITY TYPE:
810
ADDRESS:443 ROGGE STREETTELEPHONE:
(831) 763-2095
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 0DATE:
04/28/2026
UNANNOUNCEDTIME BEGAN:
02:08 PM
MET WITH:Rosalia Fernandez TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Provider does not provide adequate supervision resulting in day care child biting other day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Larios conducted an unannounced complaint investigation to deliver complaint findings. LPA met with Licensee Rosalina Fernandez and informed her of the purpose of visit.

The Department received a complaint alleging provider does not provide adequate supervision resulting in day care child biting other day care children. During the investigation, LPA toured the indoor & outdoor area of the facility, conducted interviews, and obtained relevant documents.

Based on interviews and information obtained during the investigation, it was reported that a child in care had bitten other children on several occasions. Information gathered confirmed that biting incidents did occur, however the investigation did not establish that the Licensee failed to provide adequate supervision at the time the incidents happened.

====CONTINUE LIC 9099-C====
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 07-CC-20260209132655
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: FERNANDEZ, ROSALIA
FACILITY NUMBER: 444406227
VISIT DATE: 04/28/2026
NARRATIVE
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Information gathered indicated that staff were present and supervising children, and no evidence was obtained showing that children were left unattended or without required oversight. Although injuries were documented, there was insufficient information to determine that a lack of supervision directly resulted in the biting incidents. The allegation is therefore UNSUBSTANTIATED, meaning that the allegation may have occurred, but there is not a preponderance of evidence to prove that inadequate supervision by the Licensee caused the incidents.

There were no deficiencies cited.

Exit interview was conducted and report was reviewed with Licensee, Rosalia Fernandez. Appeal Rights were given.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5