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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617749
Report Date: 01/11/2022
Date Signed: 01/11/2022 10:17:17 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/15/2021 and conducted by Evaluator Aruna Sridharan
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20211015132003
FACILITY NAME:VALENCIA, OLIVIAFACILITY NUMBER:
343617749
ADMINISTRATOR:VALENCIA, OLIVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 430-4194
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY:14CENSUS: 3DATE:
01/11/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Olivia ValenciaTIME COMPLETED:
10:38 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-Licensee utilizes inappropriate forms of discipline
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At 10:00 am 01/11/22 Licensing Program Analyst (LPA) Aruna Sridharan and Licensing Program Manager (LPM) Bettina Engelman performed an unannounced complaint inspection and met with the Licensee, Olivia Valencia. The purpose of the inspection was to deliver findings regarding the above complaint allegation. It was alleged that Licensee utilizes inappropriate forms of discipline. LPA Sridharan conducted interviews with licensee, parents and children which resulted in inconsistent information. Child #1, who was interviewed, could not provide specific details on the licensee's actions. LPA was able to contact 2 out of 5 parents where their experiences and opinions did not corroborate with the allegation.
Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the findings are UNSUBSTANTIATED. No Title 22 deficiencies were cited at time of visit.
Unsubstantiated
Estimated Days of Completion: 86
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Aruna Sridharan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2022
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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