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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153911409
Report Date: 11/03/2021
Date Signed: 11/03/2021 01:11:28 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, 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
10/01/2021 and conducted by Evaluator Roman Iglesias
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20211001104401
FACILITY NAME:CEJA, KATRINA FAMILY CHILD CAREFACILITY NUMBER:
153911409
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
11/03/2021
UNANNOUNCEDTIME BEGAN:
12:21 PM
MET WITH:Katrina CejaTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Licensee hit a daycare child while in care

Licensee inappropriately grabbed a daycare child while in care
INVESTIGATION FINDINGS:
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 On 11/03/2021 Licensing Program Analyst (LPA), Roman Iglesias, conducted an unannounced complaint inspection to provide findings for the above allegations. LPA Iglesias met with Licensee Katrina Ceja, reviewed the allegations with her, and took a census.
This agency has investigated the complaint alleging Ms. Ceja hitting a daycare child while in care and Ms. Ceja inappropriately grabbing a daycare child while in care. During the course of the investigation LPA interviewed Ms. Ceja, interviewed Community Action Partnership of San Luis Obispo (CAPSLO) staff, attempted to interview children, children's parent's, and reviewed files. Although the allegations may have happened or are 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, Chapter 3, no deficiency is being cited.
An exit interview was conducted with Licensee, Katrina Ceja. A copy of this report and Appeal Rights were provided and discussed with Ms. Ceja. A Notice of Site Visit is to be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Roman Iglesias
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
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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