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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617898
Report Date: 07/12/2022
Date Signed: 07/12/2022 04:00:09 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/08/2022 and conducted by Evaluator Fabiola Diaz
COMPLAINT CONTROL NUMBER: 03-CC-20220708173926

FACILITY NAME:LIMON, ALMA & ALCANTAR, MARIAFACILITY NUMBER:
343617898
ADMINISTRATOR:A.LIMON/M.ALCANTARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 285-7930
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:14CENSUS: 17DATE:
07/12/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Alma Limon and Maria AlcantarTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Licensees operate over licensed capacity.
Licensee doesn't live in the home.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Fabiola Diaz and Amanda Sutter arrived at the facility at approximately 10:30am and met with licensees Alma Limon and Maria Alcantar to investigate the above allegations. Upon arrival, LPAs observed 16 children present, and a 17th child arrived at around 12:30 PM. During the investigation LPAs conducted a tour of the facility and made observations. LPA Diaz conducted interviews with staff and children.
It was alleged that licensees operates outside of the license terms and conditions, being over capacity. LPAs observed 17 children present during the inspection. Licensee explained that some children come here only sometimes and are not part of the day care. Today's observations corroborated the allegation.

It was also alleged that a licensee does not reside in the home. Alma Limon and Maria Alcantar disclosed that licensee Alma Limon does not live in the home of 5461 Alvoca Way Sacramento, and licensee Maria Alcantar is the only resident of this home.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Fabiola Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20220708173926
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: LIMON, ALMA & ALCANTAR, MARIA
FACILITY NUMBER: 343617898
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/13/2022
Section Cited
CCR
102416.5(d)(2)
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(d) For a Large Family Child Care Home, the maximum number of children...at any one time...assistant...shall be either: (2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met. This requirement is not met as evidenced by:
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Licensees will provide LPA Diaz with a written plan explaining how licensees will meet the capacity and ratio Title 22 regulations starting from tomorrow. Licensees will also provide a schedule from Monday through Friday, listing
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Based on observation, interview, record review, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care. LPAs observed 17 day care children present at one time. This is a repeated violation. A Civil Penalty is being assessed.
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the days and times of children's attendance.
Type A
07/13/2022
Section Cited
CCR
102352(H)(1)
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(h) (1) "Home" means the licensee's residence as defined by Government Code Section 244.
This requirement is not met as evidenced by:
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Licensee explained she would provide LPA Diaz with a written statement explaining whether licensee Alma will move into the home or remove her name from the license. Licensee agrees to follow her written plan.
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Based on interviews, both Licensees disclosed that Alma Limon does not reside in the home at 5461 Alvoca Way Sacramento 95835.
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Licensee will also provide proof of living in home if licensee chooses to move into the home.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Fabiola Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20220708173926
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: LIMON, ALMA & ALCANTAR, MARIA
FACILITY NUMBER: 343617898
VISIT DATE: 07/12/2022
NARRATIVE
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Based on LPAs investigation the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. Title 22 deficiencies are cited on the subsequent page of this report. An Exit Interview was conducted in which the report was reviewed and discussed with Alma. A copy of this report was provided to the Alma. A Notice of Site Visit and Appeal Rights were provided.

LPA Diaz informed licensee Alma Limon that this report dated 7/12/22 document(s) 2 Type A citations which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Diaz informed the licensee Alma Limon to provide a copy of this licensing report dated 7/12/22 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Fabiola Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4