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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566213065
Report Date: 06/08/2023
Date Signed: 06/08/2023 12:31:38 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/18/2023 and conducted by Evaluator Francisca Velazquez
COMPLAINT CONTROL NUMBER: 17-CC-20230518161322
FACILITY NAME:MAHONEY FAMILY CHILD CAREFACILITY NUMBER:
566213065
ADMINISTRATOR:JAMIE MAHONEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 450-6938
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:14CENSUS: 0DATE:
06/08/2023
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Jaime MahoneyTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Licensee is out of ratio
INVESTIGATION FINDINGS:
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On 6/8/23, at 11:45 AM, Licensing Program Analyst (LPA) Francisca Velazquez made an unannounced inspection to the Family Child Care Home (FCCH) in order to deliver the finding with regard to the above allegation. LPA met with Jamie Mahoney, Licensee of the FCCH and explained the nature of the inspection. LPA notes there were no children on site at the time of the inspection.

The investigation included two unannounced inspections, interview of the licensee, and interviews with parents of currently enrolled children and previously enrolled children in the FCCH.

Interviews, document reviews as well as LPAs' observations did not corroborate the allegations noted above. Unannounced inspections revealed the FCCH is opearting within the license capacity. Further, parent interviews revealed families are satisfied with the care and supervision their children receive at the FCCH.
CONT 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
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 17-CC-20230518161322
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MAHONEY FAMILY CHILD CARE
FACILITY NUMBER: 566213065
VISIT DATE: 06/08/2023
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A Notice of Site Visit (LIC 9213) and Appeal Rights (LIC 9058) were provided to the Licensee. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2