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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409522
Report Date: 08/08/2024
Date Signed: 08/08/2024 10:38:25 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/20/2024 and conducted by Evaluator Indira Loza
COMPLAINT CONTROL NUMBER: 02-CC-20240520133405
FACILITY NAME:HERNANDEZ, GLADYSFACILITY NUMBER:
073409522
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
08/08/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Karla Urquillo AlfaroTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Adults are under the influence of alcohol while caring and supervising day care children
INVESTIGATION FINDINGS:
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On August 8, 2024 at 9:30am Licensing Program Analyst (LPA) Indira Loza arrived at the Licensee's home for the purpose of delivering an amended report and conducting a Plan of Correction (POC) visit. Present during the visit were one school-age, one (1) preschool-age child, one (1) infant, and the Licensee's minor child. The Licensee was not present during at the home, the Licensee's fingerprint cleared assistant, Karla Urquillo Alfaro, was caring for the children. LPA toured the home for a health and safety check.

During the course of the investigation staff, parent, and children interviews were conducted and records were reviewed. Based on interviews it was stated that staff appeared under the influence while transporting daycare children to their homes, staff were observed to be wobbly, staff were yelling in the presence of children, and staff were observed to be drinking alcohol during daycare hours. The preponderance of evidence standard has been met, therefore the allegation is Substantiated. California Code of Regulation 102423(a)(2) is being cited on the attached LIC9099-D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/08/2024
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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Control Number 02-CC-20240520133405
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: HERNANDEZ, GLADYS
FACILITY NUMBER: 073409522
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/05/2024
Section Cited
CCR
102423(a)(2)
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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: (2) To receive safe, healthful, and comfortable
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The Licensee shall email a statement to the LPA describing why it is important for no alcohol to be consumed during daycare hours, and the licensee shall have all staff sign an agreement stating there will not be any drinkking during daycare hours. This shall be submitted by September 5, 2024.
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accommodations, furnishings, and equipment. This requirement was not met as evidenced by: Based on interviews it was determined that staff were observed to be drinking alcohol in the presence of children during daycare hours, staff were yelling in front of children, staff appeared to be under the influence, and appeared wobbly. This poses an immediate risk to the health, safety, and personal rights of children in care.
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Failure to do so will result in a $100.00 per day civil penalty.
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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: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/08/2024
LIC9099 (FAS) - (06/04)
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