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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444415945
Report Date: 09/10/2024
Date Signed: 09/10/2024 12:30:24 PM

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
06/12/2024 and conducted by Evaluator Teodoro Trujillo
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240612123902
FACILITY NAME:VASQUEZ-NAREZ, ANA MARIAFACILITY NUMBER:
444415945
ADMINISTRATOR:ANA MONTESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 254-7878
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 4DATE:
09/10/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Ana Maria Vasquez-NarezTIME COMPLETED:
12:21 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
child sustained injuries - Lack of Supervision
Licensee yells at children/corporal punishment - Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Teodoro Trujillo met with licensee Ana Maria Vasquez-Narez to deliver complaint findings for above allegations. LPA explained the reason for the visit. Licensee minor 15 year old child opened the door, assitant Brenda was preparing lunch. LIcensee arrived 5 minutes later. Present during the visit with Licensee were Assistant and minor child with four day care children: two preschool age and two infants.

During the course of this investigation, LPA conducted observation and reviewed documents. LPA also interviewed children and parents.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies were cited during today's visit. Exit interview was conducted and report was reviewed with Licensee Ana Maria Vasquez-Narez.

A 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: Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
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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