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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 173007363
Report Date: 01/19/2024
Date Signed: 01/19/2024 02:30:50 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/19/2023 and conducted by Evaluator Cindy Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230919113005
FACILITY NAME:HERNANDEZ, HERLINDA FCCHFACILITY NUMBER:
173007363
ADMINISTRATOR:HERNANDEZ, HERLINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 530-9141
CITY:FINLEYSTATE: CAZIP CODE:
95435
CAPACITY:14CENSUS: 5DATE:
01/19/2024
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Herlinda HernandezTIME COMPLETED:
01:19 PM
ALLEGATION(S):
1
2
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9
Adult in home sexually abused day care child.
INVESTIGATION FINDINGS:
1
2
3
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5
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13
A complaint investigation visit was made today by Licensing Program Analysts (LPAs) Cindy Castro and Glenn Ouye to deliver complaint investigation findings. This complaint was investigated by the Department’s Investigations Branch (IB) Investigator, C. Krogstad in collaboration with the Lake County Sheriff’s Office and Lake County Child Welfare Services. It was alleged that an adult in home sexually abused day care child (C1). During the complaint investigation, interviews were conducted with licensee, staff, children and parents. C1 was unable to be forensically interviewed due to not being an appropriate candidate. A forensic examination of C1 was conducted. Based on available information,there is insufficient evidence to support that the allegation did or did not occur,therefore there is not a preponderance of evidence to support the allegation. The allegation is unsubstantiated. All licensing reports are public information and must be made available upon request for at least three years. This report was read and reviewed with the licensee, Herlinda Hernandez. The Notice of Site Visit shall be posted for 30 days from today’s visit. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
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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