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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444415470
Report Date: 09/19/2024
Date Signed: 09/19/2024 10:40:57 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 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
07/15/2024 and conducted by Evaluator Fermin Campos-Jaramillo
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240715134501
FACILITY NAME:ORTIZ, MARIAFACILITY NUMBER:
444415470
ADMINISTRATOR:MARIA ORTIZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 722-7712
CITY:FREEDOMSTATE: CAZIP CODE:
95019
CAPACITY:14CENSUS: 3DATE:
09/19/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maria OrtizTIME COMPLETED:
10:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee doesn't allow parents to enter the home.
Neglect/Lack of supervision.

INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with Maria B Ortiz, licensee. LPA explained to the licensee the purpose of today's visit is: Deliver the investigation findings on the above-mentioned allegations. LPA observed Licensee was providing care to three children. Licensee was working in compliance with ratio and capacity today.
The LPA has interviewed the licensee, and over the phone the reporting party (RP), and the parents of the children attending the FCCH.
Based on the available evidence, it is concluded that although the allegations listed on this complaint may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegations are therefore UNSUBSTANTIATED.

No deficiencies were cited today.
NOTICE OF SITE VISIT WAS PRINTED AND HANDED TO THE LICENSEE, MUST BE POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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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