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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274405087
Report Date: 11/13/2024
Date Signed: 11/13/2024 01:35:07 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/04/2024 and conducted by Evaluator Fermin Campos-Jaramillo
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240904112039
FACILITY NAME:ORTIZ, MARIA & ROCHA, JOSEFACILITY NUMBER:
274405087
ADMINISTRATOR:ORTIZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 633-8721
CITY:CASTROVILLESTATE: CAZIP CODE:
95012
CAPACITY:14CENSUS: 10DATE:
11/13/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maria Ortiz and Jose RochaTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider harmed child with leaf blower while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with the licensees Maria Ortiz and Jose Rocha. LPA explained to license the purpose of today's visit is: Deliver the investigation findings on the above-mentioned allegation. LPA observed that licensees were providing care to 10 children including 4 infants and 6 preschool age children.
This Department has investigated the allegation, based on LPA observations and interviews with the licensees, the reporting party, and some parents of the children attending the home, which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
No deficiency has been cited for this allegation due to this Department considers -the allegation- was accidental and there was no intention to harm or inflict pain or punishment to the child.

A NOTICE OF SITE VISIT WAS PRINTED AND HANDED TO THE LICENSEE, MUST BE POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/04/2024 and conducted by Evaluator Fermin Campos-Jaramillo
COMPLAINT CONTROL NUMBER: 07-CC-20240904112039

FACILITY NAME:ORTIZ, MARIA & ROCHA, JOSEFACILITY NUMBER:
274405087
ADMINISTRATOR:ORTIZ, MARIAFACILITY TYPE:
810
ADDRESS:10880 DAVIS STREETTELEPHONE:
(831) 633-8721
CITY:CASTROVILLESTATE: CAZIP CODE:
95012
CAPACITY:14CENSUS: 10DATE:
11/13/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maria Ortiz and Jose RochaTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider hit a child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with Maria Ortiz & Jose Rocha licensees. LPA explained to the licensee the purpose of today's visit is: Deliver the investigation findings on the above-mentioned allegation. LPA observed Licensee was providing care to 10 children including 4 infants and 6 preschool age children. Licensee was working in compliance with ratio and capacity today.
The LPA has interviewed the licensee, and over the phone the reporting party (RP), and the parents of the children attending the FCCH.
Based on the available evidence, it is concluded that although the allegation listed on this complaint may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegations are therefore UNSUBSTANTIATED.

No deficiencies were cited today.

NOTICE OF SITE VISIT WAS PRINTED AND HANDED TO THE LICENSEE, MUST BE POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2