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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274416180
Report Date: 09/14/2023
Date Signed: 09/14/2023 04:57:43 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, 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
06/28/2023 and conducted by Evaluator Fermin Campos-Jaramillo
COMPLAINT CONTROL NUMBER: 07-CC-20230628133445
FACILITY NAME:DUFF, ALMAFACILITY NUMBER:
274416180
ADMINISTRATOR:ALMA DUFFFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 585-0881
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:14CENSUS: 6DATE:
09/14/2023
UNANNOUNCEDTIME BEGAN:
03:18 PM
MET WITH:Alma DuffTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Facility backyard has hazardous items that pose a risk to day care children in care.
Licensee does not report incidents involving day care children while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with Alma Duff, licensee, for a follow up complaint investigation. The purpose of today’s inspection: Deliver the findings for the allegations stated above.
LPA observed six children were in care including three infants and three preschool age. Licensee's helper Martha Mendez was also present in the Family Child Care Home.
Based on interviews, and information gathered during the investigation process, It is thus concluded that the above allegation is found to be SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

Two type B deficiencies were cited today.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
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 07-CC-20230628133445
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: DUFF, ALMA
FACILITY NUMBER: 274416180
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/14/2023
Section Cited
CCR
102423(a)(2)
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102423 Personal Rights
(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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Licensee immediately after the child got injured cleared all the dangerous items from the back yard. Licensee Alma Duff also submitted today a statement that she will keep all the dangerous items inside and outside the house inaccessible to the children in care.
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This regulation was not met as evidenced: Based on parents interview and on statement from licensee a sharp piece of wood was accessible to clindren in care a child was injured on 6/09/23.
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Type B
09/14/2023
Section Cited
CCR
102416.2(b)
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Reporting Requirements
(b) The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home.

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Licensee submitted an incident report form LIC624B on 7/10/23 also licensee submitted an statement that she understands she shall report to the Licensing Program all the Unusual Incident Reports over the phone within the first 24 hours and with the form LIC624B within 7 days from the occurrence.
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This regulation was not met as evidenced: Based on parents interview and on statement from licensee a child was injured on 6/09/23. and licensee reported the incident until 7/10/23.
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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: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/28/2023 and conducted by Evaluator Fermin Campos-Jaramillo
COMPLAINT CONTROL NUMBER: 07-CC-20230628133445

FACILITY NAME:DUFF, ALMAFACILITY NUMBER:
274416180
ADMINISTRATOR:ALMA DUFFFACILITY TYPE:
810
ADDRESS:120 PENNSYLVANIA DRIVETELEPHONE:
(831) 585-0881
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:14CENSUS: 6DATE:
09/14/2023
UNANNOUNCEDTIME BEGAN:
03:18 PM
MET WITH:Alma DuffTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Uncleared Adult has access to day care children in care.
Licensee is operating out of ratio.
Licensee is operating over capacity.
Licensee is not ensuring a safe environment for day care children while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with Alma Duff, licensee. LPA explained to the licensee the purpose of today's visit is: Deliver the investigation findings on the above-mentioned allegations. LPA observed Licensee was providing care to six children, including three infants and three preschool age children.
Licensee’s helper Martha Mendez was also present.
This Department has interviewed the licensee and some children, and has interviewed over the phone some children’s parents.
Based on the available evidence, it is concluded that although the allegations 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 for thiese allegations.

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
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3