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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 543911613
Report Date: 02/08/2024
Date Signed: 02/08/2024 02:45:18 PM

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
10/27/2023 and conducted by Evaluator Jose Penate
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20231027104533
FACILITY NAME:RUBIO, GUADALUPE FAMILY CHILD CAREFACILITY NUMBER:
543911613
ADMINISTRATOR:RUBIO, GUADALUPEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 759-5675
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY:14CENSUS: 3DATE:
02/08/2024
UNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Licensee, Guadalupe RubioTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Assistant inappropiately touched child while in care

Assistant interfeared with child sleeping while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/08/2024, Licensing Program Analyst (LPA) Jose Penate conducted an unannounced inspection to complete the complaint investigation. LPA met with Assistant, Alejandro Gallejos and discussed the purpose of the inspection. Licensee was unavailable at the time of inspection due to having prior appointments. A tour of the facility was conducted both inside and outside and census was taken.

Based on Investigation Branch (IB) investigation, the allegations are UNSUBSTANTIATED as statements and records review obtained during the investigation, the allegations of assistant inappropriately touched child while in care, and assistant interfered with child sleeping while in care. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, no deficiency cited.

In exit interview was conducted with Assistant, Alejando Gallejos.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
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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