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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313627262
Report Date: 11/18/2025
Date Signed: 11/18/2025 11:43:09 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/17/2025 and conducted by Evaluator Stephanie Piring
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250917133401
FACILITY NAME:GONZALES, YVETTEFACILITY NUMBER:
313627262
ADMINISTRATOR:GONZALES, YVETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 622-1826
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:14CENSUS: 5DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Yvette GonzalesTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Uncleared adults residing in home.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On November 18, 2025, Licensing Program Analysts (LPAs) Stephanie Piring met with Licnesee Yvette Gonzales for the purpose of delivering complaint investigation findings. During todays visit, LPA observed five children being supervised by the licensee and assistant. All individuals subject to criminal background review have obtained a criminal record clearance.

It was alleged that uncleared adults are residing in home. During the course of the investigation, LPA made observations, interviewed the licensee and authorized representatives, and reviewed relevant documentation. Interviews with authorized representatives confirmed adults seen in the home have recieved a criminal background clearance. Although the allegation may have happened, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED
Exit interview conducted and report was reviewed with licensee, Yvette Gonzales. Appeal Rights Provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
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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