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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483010739
Report Date: 07/01/2025
Date Signed: 07/01/2025 01:05:39 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/07/2025 and conducted by Evaluator Elpidia Hernandez Torres
COMPLAINT CONTROL NUMBER: 01-CC-20250507105511
FACILITY NAME:FARFAN, EDITH FCCHFACILITY NUMBER:
483010739
ADMINISTRATOR:FARFAN, EDITHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 720-8550
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:14CENSUS: 6DATE:
07/01/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Licensee Edith FarfanTIME COMPLETED:
01:05 PM
ALLEGATION(S):
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Provider is operating out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Elpidia Hernandez Torres, conducted a subsequent complaint investigation inspection on 07/01/25 for the purpose of delivering the findings regarding the above allegation. LPA previously met with Licensee on 05/12/25 to discuss the purpose of the visit and request children roster and the day care schedule. It was alleged that provider is operating out of ratio.

During the course of the investigation, interviews were conducted with licensee, three children and five guardians between 05/12/25- 06/30/25. Licensee reported she was contacted by the county subsidy program who told her she was over capacity by one child who was over lapping by one hour. And this might have happened because the family child care home provides transportation. Licensee also reported it could have been an error on the sign in/out time sheet when the time dropped off was not accurate. When the subsidy program reached out I looked at my roster of families and created an updated schedule, as of 05/07/2025 20 children are enrolled, but only 11 children present at one time.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
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 3
Control Number 01-CC-20250507105511
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: FARFAN, EDITH FCCH
FACILITY NUMBER: 483010739
VISIT DATE: 07/01/2025
NARRATIVE
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Children interviews revealed there were about 9-10 children present in the morning, but then a handful get taken to school so less kids stay at the family childcare home. Most guardians reported they don’t enter the home so they can’t definitively say how many children are present in the day care. One guardian reported the licensee told them they had 16 children enrolled in the morning shift and 16 children enrolled in the evening shift. Another guardian reported she had seen about 10 children there at one time.

Evidence shows for the month of March, there was one day ( 03/07/25) there was 15 children in care between 05:00AM- 02:00PM. And in the month of April there were three days ( 04/07, 04/10, 04/11) 15 children were in care between 05:00AM- 02:00PM. Licensee also has their own child under 10 years old which counts in the total number of children when they are present in the home. Licensee reported April 7th- April 14th was spring break that is why they were over their capacity and they were not counting their own child under 10. But it has not happened since then and will not happen again as she has been keeping a schedule with the children and the hours they come to the day care.

Therefore, the preponderance of evidence standard has been met and the above allegation is found to be substantiated. The California Code of Regulations, Title 22, Division 12 & Chapter 3, section 102416.5(a) is being cited on attached LIC 9099D . This report was reviewed with the Licensee and an exit interview was conducted. A copy was provided and Notice of Site Visit shall be posted for 30 days. Appeal Rights were provided.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20250507105511
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: FARFAN, EDITH FCCH
FACILITY NUMBER: 483010739
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/11/2025
Section Cited
CCR
102416.5(a)
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102416.5 Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
This was not met as evidence by...
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Licensee created a schedule in May when she was made aware of the issue. Licensee is constantly updating the schedule to make sure she is in compliance with the ratio regulation. Licensee agreed to email, mail or fax
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...based on subsidy sign in/ out for March and April there was a combined of 4 days where more than 14 children were present at the same time. This poses a potential health and safety risk to children in care.
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the newest copy of the schedule to LPA Hernandez Torres to demonstrate she is within her capacity.
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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: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3