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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393611423
Report Date: 05/13/2021
Date Signed: 05/14/2021 02:47:54 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
03/24/2021 and conducted by Evaluator Marissa Soto
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20210324141956
FACILITY NAME:MORA, AMYFACILITY NUMBER:
393611423
ADMINISTRATOR:MORA,AMYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 430-6184
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:14CENSUS: 14DATE:
05/13/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Amy MoraTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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License: Licensee did not to allow parent to enter and inspect the family childcare home
INVESTIGATION FINDINGS:
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Amy Mora is Spanish speaking and Licensing Program Analyst (LPA) Marissa Soto spoke with Amy Mora in Spanish and have translated the conversation to English below.
Due to the COVID-19 pandemic Licensing Program Analyst (LPA) Marissa Soto conducted a Tele-Visit via FaceTime with Licensee, Amy Mora on 05/13/2021 at 02:00pm in lieu of conducting an on-site inspection regarding the above complaint allegation. Facility is still open during the COVID-19 pandemic, and todays census consisted of 14 children supervised by Licensee Amy and her assistant. Licensee took LPA on virtual tour of the facility. The purpose of the tele-visit was to inform the Licensee of the findings for the above complaint allegations.
It was alleged Licensee did not allow a parent to enter and inspect the family childcare home. During the investigation, observations were made, and LPA interviewed two adults and Licensee. One of the two adults could not support the allegation. When the allegation was discussed with Licensee, Licensee denied the allegation and stated that she informed the adult of her policy due to the pandemic and tried to schedule an appointment so that the adult can inspect the facility, however the adult came in an aggressive manner unannounced during nap time and Licensee did not feel safe. Licensee understands Parent Rights, however the adult is not a contracted parent.
----Report Continues on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Marissa Soto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2021
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 2
Control Number 53-CC-20210324141956
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: MORA, AMY
FACILITY NUMBER: 393611423
VISIT DATE: 05/13/2021
NARRATIVE
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Based on the information gathered throughout the course of the investigation there was not a preponderance of evidence to prove or dismiss the allegation. This complaint has been determined to be UNSUBSTANTIATED: meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Parents Rights were discussed with Licensee today.

Exit interview conducted and appeal rights were discussed. A copy of this report, Notice of Site Visit, and appeal rights were emailed to the Licensee. Hard copy of the report with signature will be on file.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Marissa Soto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2