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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 283010550
Report Date: 04/03/2025
Date Signed: 04/03/2025 03:41:17 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
01/16/2025 and conducted by Evaluator Cindy Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250116123008
FACILITY NAME:MORA ARENAS, EVELYN FCCHFACILITY NUMBER:
283010550
ADMINISTRATOR:MORA ARENAS, EVELYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 260-4979
CITY:SAINT HELENASTATE: CAZIP CODE:
94574
CAPACITY:14CENSUS: 9DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Evelyn Mora ArenasTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Licensee did not comply with parent notification requirements.
INVESTIGATION FINDINGS:
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On 0/03/25, Licensing Program Analyst (LPA) Cindy Castro, made a subsequent complaint investigation inspection, for the purpose of delivering complaint findings, and met with the Licensee, Evelyn Mora Arenas. It has been alleged Licensee did not comply with parent notification requirements.

During the investigation, LPA conducted interviews with the Reporting Party(RP), Licensee (L1), two staff members (S1-S2), six parents (P1-P6) and one child was attempted and did not qualify, from 01/22/2025 to 04/03/2025.Licensee denied the allegations and stated that when and incident occurs with a child she will take a picture and text the parent in the moment and that when parents arrive for pickup she will talk to parent in person about the incident. Licensee added another way she notifies parents is a yearly calendar that is sent at the beginning of the year to let parents know of vacations and holiday closures. Licensee reported that there was an incident in which a child had a scratch in the neck area during outdoor play and Staff (S1) was present in the backyard but licensee was indoors and did not observe nor hear child cry. Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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
Control Number 01-CC-20250116123008
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: MORA ARENAS, EVELYN FCCH
FACILITY NUMBER: 283010550
VISIT DATE: 04/03/2025
NARRATIVE
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Licensee stated that she did not report to the parent because she was not aware that the incident had occurred. Licensee added that if her staff do not tell her then she cannot notify the parent. Licensee reported that the parent of that child did contact her asking what had occurred. Licensee then contacted her staff (S1) who mentioned that the incident must have happened while child was jumping on a play structure but that no one heard cries, and nothing was noticed on the child. Licensee then followed up with parent to inform what staff reported.

Both S1 and S2 denied allegations. S1 stated licensee oversees talking to the parents. S1 added that if there is an incident parents are notified at pick up if their child had and injury, like a “scrape”. S1 added that sometimes licensee will send a text or call to let parents know prior to pick up that their child had an injury, but it is not common for accidents to happen. S1 reported that there was a child that had a scratch in the neck about two weeks ago, “I did not hear or see when the injury happen, child was playing in the wooden play house in the backyard and peeking head into the windows of the play house". S2 reported that if an accident occurs children are calmed and soothe. That staff assess the severity of the injury, then takes a picture and Licensee will be the one to text the parents. S2 added that there are times that they do not notice when something happens to a child. That Staff will now check the children when they arrive to make sure they do not have any bruises or injuries.

In addition, parent statements did not corroborate the allegation. Parents stated that they have been notified of their child’s incidents or illness through telephone calls, text or whatsup messages or in-person during pickup.

Based on available information and interviews conducted, 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 determined to be unsubstantiated at this time. There were no Title 22 deficiencies cited. This report was reviewed and discussed with Licensee Evelyn Mora. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2