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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 173009822
Report Date: 04/01/2021
Date Signed: 04/06/2021 01:37:10 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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/11/2021 and conducted by Evaluator Leticia Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20210211085115
FACILITY NAME:VALDOVINOS, MARIA G. FCCHFACILITY NUMBER:
173009822
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
04/01/2021
UNANNOUNCEDTIME BEGAN:
06:00 PM
MET WITH:Maria G. ValdovinosTIME COMPLETED:
06:30 PM
ALLEGATION(S):
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Licensee operated over capacity
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Leticia Rosales-Meza conducted a subsequent complaint tele-investigation video conference with Maria G. Valdovinos, Licensee for the purpose of delivering complaint investigation findings. Due to COVID-19, the Department has suspended field operations, and Licensee has agreed to attend a FaceTime video
tele-inspection in place of an in-person, site visit. It has been alleged that Licensee operated over capacity, specifically the Licensee had nine children in care for multiple days in January 2021.

During the initial investigation an interview was conducted with Licensee on 02/17/21 at 10:10 AM. The Licensee stated that in January 2021 is when she went over capacity. Licensee stated that she took in two foster children and Licensee admits she was operating with nine children.

Continue on LIC9099-C



Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2021
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 3
Control Number 01-CC-20210211085115
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME: VALDOVINOS, MARIA G. FCCH
FACILITY NUMBER: 173009822
VISIT DATE: 04/01/2021
NARRATIVE
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The maximum Small FCCH capacity is 8 children, therefore, the Licensee was over capacity with one additional child in care.

Based on available information, and LPA observations the preponderance of evidence standard has been met, therefore, the allegation is Substantiated.

The following violations of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 9099D. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled. This report was reviewed and discussed with the Licensee.

LS’s signature was not recorded on this Complaint Investigation Report (CIR), however, this report was reviewed and discussed with LS, LS was provided with a copy of this CIR; and Appeal Rights, LS’s signature will be on file. All licensing reports are public information and must be made available upon request for at least three years.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20210211085115
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: VALDOVINOS, MARIA G. FCCH
FACILITY NUMBER: 173009822
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/01/2021
Section Cited
CCR
102416.5(a)
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Staffing Ratio and Capacity. The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement was not met as evidenced by:
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Licensee stated she will operate within capacity at all times. Licensee stated she only cares for 6 children at the moment. On 2/18/21 received an updated facility roster showing only 6 children enrolled, 3 children were disenrolled.

Fax (707)588-5099
leticia.rosales@dss.ca.gov
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Based on an interview conducted with the Licensee, which corroborated that the Licensee operated over her license capacity in the month of January 2021. This posed an immediate Health, Safety & Personal risk to the 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: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2021
LIC9099 (FAS) - (06/04)
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