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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426215188
Report Date: 11/09/2023
Date Signed: 11/09/2023 04:24:13 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
08/10/2023 and conducted by Evaluator Martina Jimenez
COMPLAINT CONTROL NUMBER: 17-CC-20230810125042
FACILITY NAME:DIAZ FAMILY CHILD CAREFACILITY NUMBER:
426215188
ADMINISTRATOR:ALEJANDRA DIAZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 287-0854
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 6DATE:
11/09/2023
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Alejandra DiazTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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9
Over Capacity
INVESTIGATION FINDINGS:
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On November 9, 2023 at 3:30 PM, Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced inspection to conclude the complaint investigation of the above allegations. LPA met with Alejandra Diaz, licensee, and Cynthia Arreola, assistant. The purpose of the inspection was discussed and together LPA and licensee tour the home inside and outside. LPA observed 6 children and 2 staff present during the inspection.

On August 10, 2023, the Department received the a complaint in reference to the above allegation. LPA interviewed licensee, children in care, parents of currently and formerly enrolled day care children, the did not parents corrobrate with the allegation. Parents stated that they have not observed the FCCH operating over capacity. The parents interviewed indicated they are happy with the care and supervision their children receive at the Diaz 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: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023
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-20230810125042
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: DIAZ FAMILY CHILD CARE
FACILITY NUMBER: 426215188
VISIT DATE: 11/09/2023
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 Alejandra Diaz, 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: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2