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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622905
Report Date: 02/27/2023
Date Signed: 02/27/2023 12:24:28 PM

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
01/06/2023 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230106153721
FACILITY NAME:CRUZ MELENDEZ, DARIANAFACILITY NUMBER:
343622905
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
02/27/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Dariana Cruz MelendezTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider did not report day care child's injuries to parent.
Provider does not keep the home clean.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Gagandeep Singh met with the licensee, Dariana Cruz Melendez, to deliver the findings of the complaint for the above allegations.

During the investigation, LPA inspected the facility multiple times and at different times of the day. LPA interviewed the licensee and reviewed the records. Per licensee, licensee did not observe any injury to any child at the facility. Therefore, licensee did not report any incident or injury. During inspections, LPA did not smell any inappropriate odor and did not observe any toys, furniture, floor or other items to be dirty. LPA observed the licensee has one dog in the house and during inspections, the dog was in the garage. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. Copy of this report was reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023
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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