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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434412850
Report Date: 10/01/2024
Date Signed: 10/01/2024 01:12:30 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/12/2024 and conducted by Evaluator Samantha Yip
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240712150953
FACILITY NAME:IBARRA, ROCIOFACILITY NUMBER:
434412850
ADMINISTRATOR:IBARRA, ROCIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 251-2084
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY:14CENSUS: 6DATE:
10/01/2024
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Rocio IbarraTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Licensee does not allow parents to enter the family child care home.
Children's personal rights were violated
Licensee does not keep a comfortable temperature inside the home.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced complaint investigation for the above allegation. LPA met with Licensee Rocio Ibarra and explained the reason for the inspection.

During the course of this investigation, LPA conducted observation. LPA also interviewed Licensee, Assistants, children, and parents. Based on the information obtained, the above allegation is found to be UNSUBSTANTIATED, meaning although, the above allegations may have happened or is valid, there is not a preponderance of evidence to prove the
-------------CONTINUES ON 9099 DATED 10/01/2024 PAGE 2-------------------
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
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 3
Control Number 07-CC-20240712150953
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: IBARRA, ROCIO
FACILITY NUMBER: 434412850
VISIT DATE: 10/01/2024
NARRATIVE
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---------------CONTINUATION OF 9099 DATED 10/01/2024 PAGE 1----------

alleged violations did or did not occur.

Two of three parents stated that they are not allowed in the home. There is a sign posted regarding open-door policy by the door, which is discussed with parents when they enroll. Licensee and assistant stated that parents are allowed to come in. Licensee stated that she will send open-door policy to parents.

No deficiencies were issued as a result of this investigation. Exit interview conducted and report was reviewed with Licensee Rocio Ibarra. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3