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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543910105
Report Date: 12/08/2025
Date Signed: 12/08/2025 11:44:22 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH 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
09/17/2025 and conducted by Evaluator Christopher Burnias
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20250917110616
FACILITY NAME:DIAZ, CLEMENTINA FAMILY CHILD CAREFACILITY NUMBER:
543910105
ADMINISTRATOR:DIAZ, CLEMENTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 690-4687
CITY:VISALIASTATE: CAZIP CODE:
93292
CAPACITY:14CENSUS: DATE:
12/08/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Clementina DiazTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee did not prevent inappropriate interactions between children in care
INVESTIGATION FINDINGS:
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On 12/08/2025, Licensing Program Analyst (LPA) Christopher Burnias and Licensing Program Manager (LPM) Luisa Gavoutian conducted an unannounced complaint inspection at the facility. The purpose of the inspection was to deliver the findings for the above allegation. LPA met with Licensee Clementina Diaz and toured the facility. During the course of the investigation, LPA made observations at the facility and interviewed Licensee, staff, children, and parents. Interviews revealed inconsistencies as to whether or not inappropriate interactions occurred between children in care.

The investigation revealed through interviews, that although the above allegation may have happened or is valid, there is not a preponderance of evidence at this time to prove the alleged violation 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2025
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 4
Control Number 57-CC-20250917110616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: DIAZ, CLEMENTINA FAMILY CHILD CARE
FACILITY NUMBER: 543910105
VISIT DATE: 12/08/2025
NARRATIVE
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An exit interview was conducted with Licensee, Clementina Diaz.

A copy of this report and Appeal Rights were provided.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4