<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493009967
Report Date: 09/01/2021
Date Signed: 09/02/2021 02:58:35 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
06/15/2021 and conducted by Evaluator Leticia Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20210615115752
FACILITY NAME:LIZARDI, BETZAIRA FCCHFACILITY NUMBER:
493009967
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
09/01/2021
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Betzaira LizardiTIME COMPLETED:
02:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not prevent a day care child from inappropriate interactions with other day care children resulting in minor injury.

Licensee yelled at day care child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Leticia Rosales-Meza made a subsequent complaint investigation inspection, for the purpose of delivering complaint findings, and met with the Licensee. It has been alleged that Licensee did not prevent a day care child from inappropriate interactions with other day care children resulting in minor injury, specifically that Child 2 (C2) grabbed Child 1 (C1) by the arms and started shaking and twirling C1 around, C1 started crying, then C2 went over to an infant who was drinking a bottle in a rocker chair and flipped the chair over, and the infant fell out onto the carpet and hit it’s head.

During the investigation, records were reviewed and interviews were conducted with Staff 1 (S1) on 6/18/21 at 3:45 p.m. An interview was conducted with Licensee on 6/18/20 at 2:50 p.m. The Licensee denied the allegations and stated that she has have never yelled at day children, nor has there been any inappropriate interactions among the day care children resulting in a minor injury.
Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
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-20210615115752
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: LIZARDI, BETZAIRA FCCH
FACILITY NUMBER: 493009967
VISIT DATE: 09/01/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Licensee stated that no one has been injured in her day care, if there had been some kind of injury she would have called in an incident report to Licensing or report any injuries to day care parents no matter how minor it would be. Licensee stated that she has children of her own whom she's raised her voice to get their attention when they are not listening. S1 stated that the Licensee does not yell at the day care children, she sometimes has to raise her voice at her own children when they put the television volume up too high or they "rough house" with one another, but never with the day care children. S1 stated that the Licensee is always present supervising the children.

Based on interviews conducted and records reviewed, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred, therefore the allegations are Unsubstantiated.

There were no Title 22 deficiencies cited during today's inspection. This report was reviewed and discussed with the Licensee. Appeal Rights were provided.



Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2