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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 515406344
Report Date: 08/23/2022
Date Signed: 08/23/2022 12:00:37 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/06/2022 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20220506112212
FACILITY NAME:AGUILAR, EVANGELINA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515406344
ADMINISTRATOR:AGUILAR, EVANGELINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 632-0339
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:14CENSUS: 11DATE:
08/23/2022
UNANNOUNCEDTIME BEGAN:
10:04 AM
MET WITH:Evangelina AguilarTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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9
Licensee berates day care children
Licensee left day care child unattended
INVESTIGATION FINDINGS:
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On 8/23/22 at 10:04 am Licensing Program Analyst (LPA) Mendez and LPA Chavez conducted a subsequent complaint investigation inspection to the facility for the purpose of delivering complaint findings.
LPA Mendez interviewed licensee on 5/13/22 at 12:33pm and licensee denied the allegation and stated that they have never hit any children and does not leave children unsupervised.
LPA Mendez asked parents (P1-P9) if they had witnessed licensee yelling at children and six out of nine parents stated they have heard licensee yelling at children.
LPA Mendez asked C1 and C2 if they had seen and heard licensee yell at other children. C1 stated that licensee yells a lot and C2 stated that licensee did yell at C1 and other children.
LPA Mendez interviewed P2 who stated they had witnessed C2 crying outside of the house near the front door, P2 stated that they walked C2 the gate to the back entrance of the house. LPA Mendez asked P2 if there were any adults outside and P2 stated that there were no adults with C2 outside and were inside the house.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
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 4
Control Number 13-CC-20220506112212
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: AGUILAR, EVANGELINA FAMILY CHILD CARE HOME
FACILITY NUMBER: 515406344
VISIT DATE: 08/23/2022
NARRATIVE
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LPA Mendez interviewed C2 on 7/1/22, C2 stated that licensee told them to get out of the van because there was no room and C2 was unable to get back inside the house. C2 stated that they were outside and P2 had arrived and took C2 through the back gate to the entrance of the house.
LPA Mendez interviewed staff S1 on 5/13/22, LPA Mendez asked S1 if licensee has ever left children alone and S1 stated no, children are never left alone.
During today’s visit facility was toured. LPA Mendez observed 11 children in care and 4 staff.
Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/06/2022 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20220506112212

FACILITY NAME:AGUILAR, EVANGELINA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515406344
ADMINISTRATOR:AGUILAR, EVANGELINAFACILITY TYPE:
810
ADDRESS:1859 HARDIAL DRIVETELEPHONE:
(530) 632-0339
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:14CENSUS: 10DATE:
08/23/2022
UNANNOUNCEDTIME BEGAN:
10:04 AM
MET WITH:Evangelina AguilarTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee hits day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/23/22 at 10:04 am Licensing Program Analyst (LPA) Mendez and LPA Chavez conducted a subsequent complaint investigation inspection to the facility for the purpose of delivering complaint findings.
LPA Mendez interviewed licensee on 5/13/22 at 12:33pm and licensee denied the allegation and stated that she has never hit any children.
LPA Mendez interviewed nine parents on 6/28/22, 7/1/22, 7/12/22 and 8/1/22. LPA Mendez asked parents (P1-P9) if they had witnessed licensee hit day care children and nine out of nine parents stated no.
LPA Mendez interviewed children (C1-C2) on 6/28/22 and 7/1/22 and asked if children in care were hit by licensee. C1 stated that licensee hit them on the back of the hand. LPA Mendez asked C2 if licensee had hit them and C2 stated no, C2 stated that they witnessed C1 get hit on the back of the hand and had also seen another child was hit by licensee. LPA Mendez asked C2 if they were hit on the back of hand by licensee and C2 stated no.
LPA Mendez interviewed staff (S1) on 5/13/22, LPA Mendez asked S1 if they had witnessed licensee hit children and S1 stated no.
During today’s visit facility was toured. LPA Mendez observed 11 children in care and 4 staff.
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 13-CC-20220506112212
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: AGUILAR, EVANGELINA FAMILY CHILD CARE HOME
FACILITY NUMBER: 515406344
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/23/2022
Section Cited
CCR
102417(a)
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(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence.
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Licensee will submit to LPA Mendez a plan of correction by 8/24/22. How licensee she will properly supervise children. Licensee will notifiy enrolled families and have them sign LIC 9224 and be kept in their files.
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 This requirement was not met as evidenced based on interviews. Licensee left child unsupervised not ensuring that an adult was present with child.
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Type B
08/23/2022
Section Cited
CCR
12423(a)(4)
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(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including,
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Licensee will submit a plan of correction to LPA Mendez by 8/31/22 stated that she has read the regulations in regards to personal rights.
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This requirement was not met as evidenced based on interviews. Licensee did yell at day care children.

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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: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4