483009603-7-9-2021-01-CC-LLEI-C4V2ME-20210712173059

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483009603
Report Date: 07/09/2021
Date Signed: 07/09/2021 03:42:00 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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2021 and conducted by Evaluator Melchisedeck Augustin

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20210401092455

FACILITY NAME:	GOMEZ, GENEVA FCCH		FACILITY NUMBER:	483009603
ADMINISTRATOR:	GOMEZ, GENEVA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 980-8137
CITY:	VALLEJO	STATE: CA	ZIP CODE:	94591
CAPACITY:	14	CENSUS: 4	DATE:	07/09/2021
		UNANNOUNCED	TIME BEGAN:	02:50 PM
MET WITH:	Geneva Gomez		TIME COMPLETED:	03:50 PM

ALLEGATION(S):

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Licensee's side business interferes with day care operations

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Melchisedeck Augustin conducted a subsequent complaint investigation visit at the facility to deliver the finding regarding the allegation mentioned above, and LPA met with Licensee, Geneva Gomez (LS). LPA previously met with LS on 04/07/2021 and 04/12/2021 to discuss the purpose of the visit, to initiate the investigation, and obtained a facility roster of the children in care. It was alleged that the Licensee's side business interferes with day care operations.

LS denied the allegation, claiming she did not operate a side business at the facility during the facility’s operating hours on Mon through Fri, 7:30am to 5:30pm. LS admitted there was an existing embroidery business called TJ’s Designs, which operated out of the facility’s garage on Mon through Fri, 9:00am to 9:00pm, by appointments only, and LS worked at TJ’s Designs during the facility’s none operating hours on nights and weekends; and that business did not interfere with the operation of the facility. LS felt that she was being falsely accused of the allegation. Staff statements were consistent with LS and staff denied the allegation. (Continue to LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021

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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Control Number 01-CC-20210401092455

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: GOMEZ, GENEVA FCCH	FACILITY NUMBER: 483009603
	VISIT DATE: 07/09/2021

NARRATIVE

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Staff further claimed that LS only worked at the side business after the daycare children had left for the day, the side business was separate from the facility, and the side business did not conflict with the operations of the facility.

Through the course of the investigation starting from 04/06/21 through 07/06/21, LPA interviewed LS, one adult, six parents (P1-P6), one child and two staff (S1 & S2) and attempted to interview a child. Some children were not verbal, too young to interview, or did not qualify to be interviewed. Statements provided by multiple parents did not report any corroborating evidence of LS operating a side business which interfered with day care operations. Parents reported whenever they dropped off and/or picked up their child(ren) at the facility, LS and staff were always present and available, and parents felt that LS was not operating dual businesses during the facility’s operating hours.

While most parents’ statements did not report any concerns at the facility, two parents’ statements reported they were aware of the facility’s side business, and on at least one occasion they witnessed customer(s) of TJ’s Designs picking up merchandise at the facility’s front porch during drop off and/or pick up time.

During LPA’s inspections on 04/07/21 and 04/12/21, LPA observed LS and staff were providing care and supervision to the children at the facility, and LPA did not observe LS engaging in any other activities pertaining to TJ’s Designs that interfered with the operation of the facility. Based on the investigation, there’s not a preponderance of evidence to support the allegation, and therefore, the allegation is unsubstantiated. This report was discussed and reviewed with LS and an Exit interview was conducted with LS. Notice of Site Visit shall be posted for 30 days. There were no title 22 deficiencies cited during this visit. Appeal Rights were provided.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021

LIC9099 (FAS) - (06/04)

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