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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617749
Report Date: 01/24/2024
Date Signed: 01/24/2024 02:36:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
11/06/2023 and conducted by Evaluator Carla Polanco Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20231106081319
FACILITY NAME:ALVAREZ, CAMILA & VALENCIA, OLIVIAFACILITY NUMBER:
343617749
ADMINISTRATOR:VALENCIA, OLIVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 430-4194
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY:14CENSUS: 4DATE:
01/24/2024
UNANNOUNCEDTIME BEGAN:
02:17 PM
MET WITH:Licensee Olivia ValenciaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Personal rights: Licensee is not transporting child in a car seat.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/24/24, Licensing Program Analyst Carla Polanco (LPA) conducted an unannounced field visit to deliver the findings for the above allegation. LPA met with Licensee, Olivia Valencia. Throughout the course of the investigation LPA conducted interviews and reviewed and collected pertinent information.

It was alleged that Licensee does not sit a child in a craseat while transporting the child. Interviews were conducted with the reporting party, Licensee and Licensee’s assistant. During the investigation, LPA learned that during transportation, Licensee uses a booster carseat for the child. A booster carseat was observed inside Licensee's car by LPA.

Based on the interviews conducted, and the records reviewed, the above allegation was found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
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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