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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434406583
Report Date: 11/26/2021
Date Signed: 11/26/2021 02:44:08 PM

Document Has Been Signed on 11/26/2021 02:44 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:CARRENO, ROSAFACILITY NUMBER:
434406583
ADMINISTRATOR:CARRENO, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 259-5536
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/26/2021
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Rosa CarrenoTIME COMPLETED:
02:45 PM
NARRATIVE
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On November 26, 2021, Regional Manager (RM) Anthony Studebaker and Licensing Program Analyst (LPA) Susy Cervantes met with Licensee, Rosa Carreno, for the purpose of delivering a Temporary Suspension Order (TSO) for the Family Child Care Home.

Summary of charges:

1. From approximately January 1, 2011 through December 31, 2019, dates not
yet known to the Department, Respondent JULIO CARRASCO DIAZ
inappropriately touched a minor, in the family child care home.
2. On November 22, 2021, law enforcement personnel arrested JULIO
CARRASCO DIAZ on charges of inappropriate sexual contact with a minor.
3. ROSA CARRENO failed to report to the Department that JULIO CARRASCO
DIAZ was arrested related to this matter

Regional Manager Anthony Studebaker explained the appeal rights to the licensee, including the process to file for the Notice of Defense. Summary of Issues packets were left for the parents of the children enrolled in the daycare, and the Temporary Suspension Order was posted on the front door as per Title 22 Regulations. The licensee understands that the TSO must remain posted for 30 consecutive days, and was advised of possible penalties for removing it sooner. The Licensee further understands that if a hearing is requested, this Order will remain in effect until the Department issues a final Decision in the matters contained by the Accusation, or 30 days after the Department receives a Proposed Decision, whichever is sooner.

Temporary Suspension Order is in effect as of 6:00pm at the close of business today, November 26, 2021.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Susy Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 11/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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