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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409171
Report Date: 11/13/2024
Date Signed: 11/13/2024 03:30:21 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/05/2024 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20241105164743
FACILITY NAME:ESCOBAR, MARIA & ESCOBAR, MIGUELFACILITY NUMBER:
073409171
ADMINISTRATOR:ESCOBAR, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 695-4806
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY:14CENSUS: 9DATE:
11/13/2024
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:MARIA & MIGUEL ESCOBARTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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OTHER- Licensee transported child in an unsafe manner
INVESTIGATION FINDINGS:
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On November 13, 2024, Licensing Program (LPA) Tasha Alexander met with licensees Maria & Miguel Escobar for a 10 day initial visit to discuss the above complaint allegation.

Present along with licensees are 9 children in care, consisting of 2 infants, 4 preschoolers and 3 school age. Today an interview was conducted with the licensees and 1 school age child. According to interviews, an incident occurred at school pick up when a vehicle attempted to cut off the licensee's vehicle. The licensee attempted to exit his vehicle in haste and forgot to put the vehicle in park, once the vehicle began to roll, before fully exiting, the licensee then shifted the car into park.

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

California Code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC. 9099D.

An exit interview was conducted with licensee Maria Escobar.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
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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Control Number 02-CC-20241105164743
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ESCOBAR, MARIA & ESCOBAR, MIGUEL
FACILITY NUMBER: 073409171
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/27/2024
Section Cited
CCR
102423(a)(2)
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102423 Personal Rights
(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:
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The licensee will ensure that the vehicle is in "park" before exiting the vehicle at all times. The licensee will also write a summary explaining the importance of safely transporting children while in care and submit it to community care licensing by 11/27/24.
Failure to comply will result in a $100 Civil Penalty.
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(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY LPA: interviews which revealed a child was transported in an unsafe manner when the licensee failed to put the car in park before exiting the vehicle.
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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: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC9099 (FAS) - (06/04)
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