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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566206538
Report Date: 07/12/2023
Date Signed: 07/12/2023 01:38:51 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/10/2023 and conducted by Evaluator Laura Villanueva
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230510120749
FACILITY NAME:TELLEZ MAYA FAMILY CHILD CAREFACILITY NUMBER:
566206538
ADMINISTRATOR:TELLEZ, ELIA MAYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 535-0596
CITY:SANTA PAULASTATE: CAZIP CODE:
93060
CAPACITY:14CENSUS: 5DATE:
07/12/2023
UNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Elia Tellez TIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Licensee did not provide appropriate supervision resulting in inappropriate interactions between children in care
INVESTIGATION FINDINGS:
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 On July 12, 2023 at 12:55 PM Licensing Program Analyst (LPA) Laura Villanueva made an unannounced inspection to conclude the investigation for the above allegation. LPA met with Licensee, Elia Tellez and explained the purpose of the inspection. LPA asked pre-screening questions related to COVID-19. Responses suggest no COVID exposure on site. Licensee was caring 5 children were present.

The allegation was investigated by the Investigation Bureau (IB). Per Ventura County Medical Center, no evidence was found where inappropriate interactions between children was found. Licensee, Maya Tellez Maya denied observing or having any knowledge of inappropriate touching or inappropriate play between the child care children. C1 was interviewed and did not disclose any abuse at the daycare or any other concerning information. Per Santa Paula Police Department, there is no evidence that the incident occurred and the case was closed.The allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.
Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023
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 17-CC-20230510120749
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: TELLEZ MAYA FAMILY CHILD CARE
FACILITY NUMBER: 566206538
VISIT DATE: 07/12/2023
NARRATIVE
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No deficiencies were cited during today's visit. Exit interview and a copy of this report was reviewed and provided to the licensee, Elia Tellez Maya.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2