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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503902960
Report Date: 10/21/2024
Date Signed: 10/21/2024 02:09:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/15/2024 and conducted by Evaluator Aurelio Mendoza
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240815165406
FACILITY NAME:CARILLO, ROSALINA FAMILY CHILD CAREFACILITY NUMBER:
503902960
ADMINISTRATOR:CARILLO, ROSALINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 538-2126
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY:14CENSUS: 3DATE:
10/21/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Rosalina CarilloTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Licensee handled child in a rough manner.
Licensee spoke inappropriately to children in care.
INVESTIGATION FINDINGS:
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On 10/21/2024, Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced visit to deliver findings for a complaint filed on 08/15/2024 and address the following allegations:

1. Licensee handled child in a rough manner.
2. Licensee spoke inappropriately to children in care.

LPA Aurelio Mendoza met with Licensee Rosalina Carillo, conducted a facility tour, and took a census. During the investigation, LPA interviewed the licensee, children, parents, and reviewed facility records, including a report from the Ceres Police Department, which indicated no victims or evidence for further follow-up.

***Report continued on LIC9099-A***
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
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 2
Control Number 04-CC-20240815165406
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CARILLO, ROSALINA FAMILY CHILD CARE
FACILITY NUMBER: 503902960
VISIT DATE: 10/21/2024
NARRATIVE
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Interview statements from children and parents conflicted, and there was insufficient evidence to substantiate the allegations. The investigation, which included interviews, observations, and a review of records, concluded that while the allegations may have been valid, there is not enough evidence to prove or disprove them. Therefore, both allegations are deemed UNSUBSTANTIATED.

No deficiencies were cited under California Code of Regulations, Title 22, Division 12, Chapter 3. An exit interview was conducted with Licensee Rosalina Carillo, and a copy of the report and Appeal Rights were provided.

***End of Report***
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2