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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393619809
Report Date: 02/11/2025
Date Signed: 02/11/2025 01:41:01 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
12/30/2024 and conducted by Evaluator Carla Polanco Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20241230085156
FACILITY NAME:HERNANDEZ, ELVIA & ANTONIOFACILITY NUMBER:
393619809
ADMINISTRATOR:HERNANDEZ, ELVIA & ANTONIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 426-6244
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY:14CENSUS: 5DATE:
02/11/2025
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Licensee Elvia Hernandez TIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Infant sleeps in car seat while in care.
Licensee does not change infant’s diaper on time.
Licensee denied parent entry into the FCCH.
INVESTIGATION FINDINGS:
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On 2/11/25, Licensing Program Analyst (LPA's) Carla Polanco Rivera and Jeremy McClain met with Licensee Elvia Hernandez to deliver the findings of the complaint investigation regarding the above allegations. During today's visit there were five children present being supervised by Licensee.

It was alleged that Licensee allows child #1 to sleep in a car seat while in her care. During the investigation process, LPA conducted interviews with the reporting party, the licensee and daycare parents. Child #1 was unable to be interviewed due to age restrictions. LPA obtained supporting information pertinent to the investigation. Interviews conducted with the Licensee and daycare parents revealed that infants are placed to sleep in cribs while in care. It was also alleged that Licensee does not change child #1’s diaper on time. Interviews with the reporting party, licensee and daycare parents were conflicting.

Report continues on LIC9099-C........
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
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-20241230085156
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: HERNANDEZ, ELVIA & ANTONIO
FACILITY NUMBER: 393619809
VISIT DATE: 02/11/2025
NARRATIVE
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 Daycare parents interviewed stated that children are clean when picked up from daycare and they have no concerns over diapering while children are in the FCCH. Furthermore, it was alleged that Licensee denied the reporting party entry into the FCCH while child #1 was in care. Interviews with the Licensee and daycare parents revealed that parents are allowed to enter the house to pick children up from care. Licensee states that she’s never denied entry to a parent picking up their child form her care. Information gathered by LPA from interviews revealed conflicting statements regarding the allegations.

Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. 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, therefore the finding is UNSUBSTANTIATED.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2