304311836-1-6-2023-06-CC-JHAN-CMWTVT-20230109140425

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304311836
Report Date: 01/06/2023
Date Signed: 01/06/2023 03:25:15 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/09/2022 and conducted by Evaluator Dean Thompson

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20221209151707

FACILITY NAME:	ALDANA, MARIA		FACILITY NUMBER:	304311836
ADMINISTRATOR:	ALDANA, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(949) 458-7780
CITY:	LAKE FOREST	STATE: CA	ZIP CODE:	92630
CAPACITY:	14	CENSUS: 1	DATE:	01/06/2023
		UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Maria Aldana		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Licensee did not prevent day care child from sustaining an injury

INVESTIGATION FINDINGS:

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On 1/6/2023 Licensing Program Analysts (LPAs), Thompson and Bootarobi made an unannounced visit to Maria Aldana Family Child Care Home for the purpose of to deliver findings and conclude an investigation of a complaint for the above mention alleged allegation that was received on 12/09/2022. LPA was met by licensee, Maria Aldana who was explained the reason for today’s visit.

A review of the Facility Personnel Report Summary conducted on 1/6/2023 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 12/09/2022 a complaint was received alleging Licensee did not prevent day care child from sustaining an injury on 12/08/2022 while in care.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20221209151707

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ALDANA, MARIA	FACILITY NUMBER: 304311836
	VISIT DATE: 01/06/2023

NARRATIVE

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On 12/08/2022 LPA Thompson arrived at the day care at 9:25 AM and was present until 4:00 PM. During LPA's visit, LPA toured the home inside and outside and observed eight children in care. Out of the eight children in care, one was child #1. At approximately 3:00 PM, LPA observed the mother pick up child #1 and the mother did not mention any injuries to the licensee Maria. LPA did not observe any children sustaining injuries while in care during the time LPA was present.

on 12/12/2022 When Maria Aldana was asked if she recalled any children sustaining injuries while in care on 12/8/2022, Maria replied "No."

On 12/19/2022 a telephone call was made to the parents of child#1 and a voicemail was left requesting a return phone call. On 12/22/2022 a telephone call made to the parents of child #1. Mother of child #1 requested not to receive calls from LPA.

On 12/19/2022 LPA received the Special Incident Report from Children Home Society per request.

On 1/03/2023 LPA sent an email to child #1 Social Worker to see if more information or pictures could be provided in regards to the allegation. on 01/05/2023 LPA was informed by child #1 Social Worker that no information was received pertaining to child #1 sustaining an injury on 12/08/2022 while in care at Maria Aldana family child care home.

Based on LPA’s facility inspection, observations, interviews conducted with licensee, and records reviewed it was determined there was insufficient evidence alleging Licensee did not prevent day care child from sustaining an injury. 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 allegation is Unsubstantiated.

Exit interview was conducted with licensee Maria Aldana. Notice of Site Visit was posted during the visit. Licensee was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

Report translated in Spanish to Maria Aldana by LPA Bootorabi

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

LIC9099 (FAS) - (06/04)

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