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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313616019
Report Date: 09/24/2026
Date Signed: 09/24/2026 12:27:54 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/26/2026 and conducted by Evaluator Carla Polanco Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260826143855
FACILITY NAME:BORJA, MARIA ROXANAFACILITY NUMBER:
313616019
ADMINISTRATOR:BORJA, MARIA ROXANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 251-7047
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY:14CENSUS: 7DATE:
09/24/2026
UNANNOUNCEDTIME BEGAN:
11:53 AM
MET WITH:Maria Roxana BorjaTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Personal rights: Licensee hit a daycare child.
INVESTIGATION FINDINGS:
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On 9/24/26, Licensing Program Analysts (LPA) Carla Polanco met with Licensee, Maria Roxana Borja, to conduct an unannounced visit and deliver the findings of a complaint investigation regarding the above allegation. There were seven children present during today's inspection, being supervised by the Licensee and one assistant.

During the investigation, LPA made observations at the facility, obtained relevant information and documents pertaining to the allegation, conducted interviews with complainant, daycare child, daycare parents, License and two qaulified assistants.

It was alleged that on August 24, 2026, the Licensee hit a daycare child while the child was in care. Observations and interviews conducted, as well as information obtained by LPA did not disclose any information that was evident to support the allegation.

Report continued on LIC812-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2026
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 03-CC-20260826143855
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BORJA, MARIA ROXANA
FACILITY NUMBER: 313616019
VISIT DATE: 09/24/2026
NARRATIVE
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In addition, there were inconsistencies with the information provided by the complainant. Based on the collected information, the findings are UNSUBSTANTIATED as there was not a preponderance of evidence to prove or negate the specific allegations.

An exit interview was conducted, and the report was reviewed with the Licensee. A notice of site visit was posted by LPA and must remain posted for 30 days. No deficiencies were observed or cited during today's visit.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2