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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444406261
Report Date: 06/09/2023
Date Signed: 06/16/2023 09:55:57 AM

Unsubstantiated


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
03/23/2023 and conducted by Evaluator Elizabeth Berumen
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230323151121

FACILITY NAME:MORALES, LOURDESFACILITY NUMBER:
444406261
ADMINISTRATOR:MORALES, LOURDESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 722-1870
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 6DATE:
06/09/2023
UNANNOUNCEDTIME BEGAN:
01:38 PM
MET WITH:Lourdes MoralesTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
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9
Infants in care sleep on baby swings
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Elizabeth Berumen conducted an announced inspection to deliver investigation findings. Present during the inspection were 6 day care children, Licensee's assistant, Licensee's adult daughter and Licensee's husband.
The investigation into the following allegation: Infants in care sleep on baby swings.
Based on the available evidence and interviews completed for the complaint investigation, it is concluded that although the allegation noted on this complaint may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.
A NOTICE OF SITE VISIT WAS ISSUED AND THE LICENSEE WAS ADVISED TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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