444409362-9-10-2025-07-CC-SCES-DLYPBS-20250929111045

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 444409362
Report Date: 09/10/2025
Date Signed: 09/10/2025 02:55:54 PM

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
07/07/2025 and conducted by Evaluator Fermin Campos-Jaramillo

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20250707224133

FACILITY NAME:	RODRIGUEZ, LIDIA		FACILITY NUMBER:	444409362
ADMINISTRATOR:	LIDIA RODRIGUEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 761-1427
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	14	CENSUS: 5	DATE:	09/10/2025
		UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Lidia Rodriguez		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Uncleared individual is residing in the home

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with Lidia Rodriguez, licensee. LPA explained to the licensee the purpose of today's visit is: Deliver the investigation findings on the above-mentioned allegation. LPA observed Licensee was providing care to five children, including one infant and four preschool age children. Licensee was working in compliance with ratio and capacity today.
The LPA has interviewed the licensee, has visited at their schools some children attending the home, and has contacted over the phone some parents of the children attending the FCCH.
Based on the available evidence, it is concluded that although the allegations listed on this complaint may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegations are therefore UNSUBSTANTIATED.

No deficiencies were cited today.

NOTICE OF SITE VISIT WAS PRINTED AND HANDED TO THE LICENSEE, MUST BE POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.

Estimated Days of Completion:

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

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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