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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343625428
Report Date: 08/05/2025
Date Signed: 08/05/2025 09:27:59 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
05/30/2025 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250530134424
FACILITY NAME:CISNEROS, TONILENFACILITY NUMBER:
343625428
ADMINISTRATOR:CISNEROS, TONILENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 693-9630
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:14CENSUS: 4DATE:
08/05/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Tonilen CisnerosTIME COMPLETED:
09:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider left day care child outside unsupervised for an extended period of time.
Provider leaves day care children soiled for extended periods of time.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Licensee, Tonilen Cisneros (L), to deliver findings.
Throughout the course of the investigation, LPA toured the facility, including all areas accessible to children, observed L provide care to children, requested documents and conducted interviews. LPA interviews and statements were inconsistent to corroborate the allegations Provider left day care child outside unsupervised for an extended period of time and Provider leaves day care children soiled for extended periods of time. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.
Exit interview was conducted and report was reviewed with Licensee, Tonilen Cisneros. Appeal rights were provided, and a Notice of Site visit was given to Licensee, who will post it where visible to parents/guardians for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2025
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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