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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409522
Report Date: 12/16/2025
Date Signed: 12/16/2025 02:57:20 PM

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
09/02/2025 and conducted by Evaluator Indira Loza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250902133220
FACILITY NAME:HERNANDEZ, GLADYSFACILITY NUMBER:
073409522
ADMINISTRATOR:GLADYS HERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 241-6153
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY:14CENSUS: 9DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
01:24 PM
MET WITH:Glaldys HernandezTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Provider does not ensure daycare child's diaper is changed in a timely manner.
INVESTIGATION FINDINGS:
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On December 16, 2025 Licensing Program Analysts (LPAs) Indira Loza and Catherine Fernandes met with Assistant Marta Chum to deliver the findings for the above allegation. Present during today's visit were one infant, 5 preschoolers, and three school-age children. LPAs toured the home for a health and safety check.

During the course of the investigation LPA reviewed relavent records, conducted observations and interviews. Based on documents reviewed it has been concluded that an infant sustained a diaper rash due to not having a diaper change in a timely manner. The preponderance of evidence standard has been met, therefore the allegation is SUBSTANTIATED. Title 22, California Code of Regulations 102423(a)(2) is being cited on the attached LIC 9099-D.

Exit Interview conducted. Report and Appeal rights provided to Licensee Gladys Hernandez.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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 2
Control Number 02-CC-20250902133220
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: 12/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/16/2026
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 accommodations, furnishings, and equipment.
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The Licensee shall develop a form that tracks each diaper change and what time it was changed. This form shall be submitted to LPA no later than 1/16/25.
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Based on documents reviewed it has been determined that an infant's diaper was not changed in a timely manner resulting in a diaper rash which poses a potential risk to the health, safety, and personal rights of children in care.
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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: 12/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2