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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566212546
Report Date: 10/27/2023
Date Signed: 10/27/2023 11:58:42 AM

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
08/02/2023 and conducted by Evaluator Martina Jimenez
COMPLAINT CONTROL NUMBER: 17-CC-20230802135848
FACILITY NAME:LOPEZ FAMILY CHILD CAREFACILITY NUMBER:
566212546
ADMINISTRATOR:MARIA LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 223-5334
CITY:CAMARILLOSTATE: CAZIP CODE:
93012
CAPACITY:14CENSUS: 4DATE:
10/27/2023
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Maria LopezTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Licensee is operating over capacity
INVESTIGATION FINDINGS:
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On October 27, 2023 at 10:45 AM, Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced inspection to conclude the complaint investigation of the above allegations. LPA met with Maria Lopez, Licensee, Roberto Carlos Lopez, assistant and Jose Luis Manzo, licensee's father. The purpose of the inspection was discussed and together LPA and licensee tour the home inside and outside. LPA observed two(2) infants, two children and three (3) staff present during the inspection.

On August 2, 2023, the Department received the a complaint in reference to the above allegation. LPA interviewed licensee, parents of currently and formerly enrolled day care children, the parents corroborated with the allegation. Parents stated that they have not observed the FCCH operating over capacity nor out of ratio. Parent The parents interviewed indicated they are happy with the care and supervision their children receive at the Lopez Family Child Care.

This report continues on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
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-20230802135848
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: LOPEZ FAMILY CHILD CARE
FACILITY NUMBER: 566212546
VISIT DATE: 10/27/2023
NARRATIVE
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The allegations are unsubstantiated, based on LPA's interviews with licensee and parents of children currently and previously enrolled. Although the allegation may have occurred, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegations listed above are deemed UNSUBSTANTIATED.

Exit interview was conducted with Maria Lopez, licensee, during which time appeal rights were explained. This report and appeal rights and Notice of Site Visit (LIC9213) were provided.

THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS. LPA observed the "Notice of Site Visit" posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2