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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503912120
Report Date: 04/09/2024
Date Signed: 04/16/2024 09:24:56 AM

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
02/29/2024 and conducted by Evaluator Yesenia Fierro
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240229084834
FACILITY NAME:MORENO, MARLENE FAMILY CHILD CAREFACILITY NUMBER:
503912120
ADMINISTRATOR:MORENO, MARLENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 605-6899
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY:14CENSUS: 3DATE:
04/09/2024
UNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Marlene MorenoTIME COMPLETED:
08:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is operating beyond the terms and conditions of the license.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 9, 2024, Licensing Program Analyst (LPA) Yesenia Fierro conducted an unannounced complaint inspection to provide findings for the above-mentioned allegation. LPA met with Licensee Marlene Moreno, LPA discussed the allegation and took a census. During the course of the investigation, LPA interviewed parents/neighbors, reviewed licensee records, and conducted observations.
LPA obtained conflicting information in regards to the licensee home address. Information obtained reveals multiple addresses conflicting with the address that is licensed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged allegation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency is cited during today's visit.

An exit interview conducted with Licensee Marlene Moreno. A copy of this report and Appeal Rights were provided.

A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024
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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