343623618-6-9-2023-03-CC-KPES-CSTLA9-20230615083446

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343623618
Report Date: 06/09/2023
Date Signed: 06/09/2023 11:19:03 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
04/12/2023 and conducted by Evaluator Katrina Owens

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20230412094056

FACILITY NAME:	MUNOZ, GISELA & SANDRO		FACILITY NUMBER:	343623618
ADMINISTRATOR:	MUNOZ, GISELA & SANDRO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 223-2415
CITY:	ROSVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	14	CENSUS: 7	DATE:	06/09/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Gisela Munoz - Licensee		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

PERSONAL RIGHTS: Licensee handled day-care child in a rough manner.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

An unannounced inspection was conducted today by Licensing Program Analyst Owens. LPA Owens met with licensee, Gisela Munoz. Present at time of inspection was licensee and 7 day care children. The purpose of the inspection is to close a complaint investigation that was originally opened on April 17, 2023.

Based upon conflicting interviews, the allegation that a child was handled in a rough manner by the licensee is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur.
An exit interview was conducted. Appeal rights were given and explained to the licensee at time of inspection.

No deficiencies

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023

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

LIC9099 (FAS) - (06/04)

Page: 1 of 1