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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304206634
Report Date: 03/16/2023
Date Signed: 03/16/2023 04:12:56 PM

Document Has Been Signed on 03/16/2023 04:12 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:OSORIO, AMALIAFACILITY NUMBER:
304206634
ADMINISTRATOR:OSORIO, AMALIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 549-1796
CITY:SANTA ANASTATE: CAZIP CODE:
92704
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 5DATE:
03/16/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:55 PM
MET WITH:Amalia Osorio, LIcenseeTIME COMPLETED:
04:30 PM
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LPAs, P Rivas and A Silva conducted a case management visit to complete the investigation which was commenced on 01/04/23 on a self reported unusual incident. The unusual incident was reported on 12/27/22 and originally reported on 08/22/18.
Upon arrival LPAs viewed 4 school age children and one infant in Care. Licensee and assistant was present providing care.
Licensee reported that Child 1(C1) had disclosed on 08/22/18 that C2 had inappropriately touched him/her. The incident allegedly occurred outside in the backyard. On 12/27/22 Licensee reported to the Department that on 12/25/22 licensee was notified by C1's parent that C1 now disclosed that C2 had raped C1.
On 01/04/23 LPA Rivas reviewed C1's file and interviewed licensee. Licensee Osorio's statement was consistent with information originally provided on 08/22/18 . LPA was unable to interview C2 since C2 is no longer in this day care and Licensee does not know the whereabouts of C2. LPA was unable to review C2's file since it has been over 3 years since C2 has left the facility. Special Investigator Daniel Massey conducted interview with C1 on 01/19/23 . Special investigator found that C1 was unable to articulate details of a rape. When specific details were requested C1 changed story or was not sure s/he was raped. C1 also changed the location of the alleged incident. Based on the Investigator's determination that the disclosure lacked credibility further investigation was not warranted.

Based on interviews conducted with licensee and C1, one child's records review. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were noted under the California Code of Regulations Title 22 Division 12 during today's visit.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE: DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: OSORIO, AMALIA
FACILITY NUMBER: 304206634
VISIT DATE: 03/16/2023
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An exit interview was conducted with director. Appeal Rights were explained. The Director was provided a copy of appeal rights (LIC 9058) 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the Regional Manager to the address listed.

The Notice of Site Visit was given and discussed it must be posted as required by H & S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC809 (FAS) - (06/04)
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