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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 293623969
Report Date: 01/17/2023
Date Signed: 01/17/2023 10:06:02 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/13/2022 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20221013161041
FACILITY NAME:BECERRA, LAURAFACILITY NUMBER:
293623969
ADMINISTRATOR:LAURA BECERRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 798-3002
CITY:GRASS VALLEYSTATE: CAZIP CODE:
95945
CAPACITY:14CENSUS: 6DATE:
01/17/2023
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:TIME COMPLETED:
10:20 AM
ALLEGATION(S):
1
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9
Uncleared adult on probation is present when day care children are present
INVESTIGATION FINDINGS:
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13
Licensing Program Analysts Matthew Gallo and Jennifer Velasco (LPA) conducted a follow up complaint investigation inspection and met with Licensee Laura Becerra (L1). Today, LPAs observed six children in care with L1 and an assistant. It was alleged that an uncleared adult on probation is present when day care children are present. During the investigation, LPA requested and reviewed facility documents, conducted interviews, and observed care. Witness accounts, document reviews, and LPA observations failed to corroborate the allegation of an unlicensed adult on probation being present inside the home or residing in the home when day care children are present. The preponderance of evidence standard has not been met; therefore, the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
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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