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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444412784
Report Date: 03/22/2023
Date Signed: 03/22/2023 10:32:48 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
12/28/2022 and conducted by Evaluator Fermin Campos-Jaramillo
COMPLAINT CONTROL NUMBER: 07-CC-20221228150026
FACILITY NAME:NAREZ, IRMAFACILITY NUMBER:
444412784
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
03/22/2023
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Irma NarezTIME COMPLETED:
10:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child inappropriately touched at the child care home
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with Irma Narez, licensee. LPA explained to licensee the purpose of today's visit is: Deliver the investigation findings on the above-mentioned allegation. LPA observed Licensee was providing care to one preschool child.
This Department has interviewed the licensee, has interviewed over the phone some children’s parents, and has been informed by the Sheriff’s Department that not a follow up investigation has been made to this Family Child Care Home.
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 allegation is therefore UNSUBSTANTIATED.

No deficiencies were cited today.

A 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
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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