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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483010739
Report Date: 07/01/2025
Date Signed: 07/01/2025 01:03:31 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/28/2025 and conducted by Evaluator Elpidia Hernandez Torres
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250428123713
FACILITY NAME:FARFAN, EDITH FCCHFACILITY NUMBER:
483010739
ADMINISTRATOR:FARFAN, EDITHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 720-8550
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:14CENSUS: 6DATE:
07/01/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Licensee Edith FarfanTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Day care child sustained injuries while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elpidia Hernandez Torres conducted a subsequent complaint investigation visit with licensee for the purpose of delivering complaint investigation findings. It has been alleged Day care child sustained injuries while in care.
During the course of the investigation, interviews were conducted with licensee, four children and four guardians between 05/05/25- 06/30/25. Licensee reported if children get hurt she will send a message to the guardian and take a picture so they can see what happened then explain to the guardian at pick up. Licensee also reported the complaint might have been from a guardian who’s child got hurt by scratching themselves with a toy car.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
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 01-CC-20250428123713
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: FARFAN, EDITH FCCH
FACILITY NUMBER: 483010739
VISIT DATE: 07/01/2025
NARRATIVE
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All guardians reported they had not observed the licensee or assistants hurt, or hit a child. One guardian reported their child told them a lady at the day care hit them on their back for not sitting down and their younger sibling when they would cry. Guardian reported they never saw any marks on their children, and when they would arrive at pick up their child seemed fine, interacting with licensee. Another guardian reported when they picked up their child, the child had a red scratch on the cheek, and licensee told them it was from a toy car, the guardian didn't agree with the licensee. No other guardian expressed any concern about the day care.

Children expressed, children get hurt at the day care when kids drop toys and other kids fall on the toys. Babies drop toys too but don’t throw them at other kids. And Children fall when they are jumping. If a child gets hurt then the licensee will call their mom’s and put a band aid on.

Based on interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is Unsubstantiated. This report was reviewed and discussed with the licensee, She was provided with a copy of this CIR; and Appeal Rights. All licensing reports are public information and must be made available upon request for at least three years. Notice of Site Visit was given and must be posed for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2