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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434411407
Report Date: 01/28/2022
Date Signed: 01/28/2022 06:45:04 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/07/2021 and conducted by Evaluator Jonathan Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20210907153025
FACILITY NAME:BEDREGAL, BETTYFACILITY NUMBER:
434411407
ADMINISTRATOR:BEDREGAL, BETTYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 963-9218
CITY:MOUNTAIN VIEWSTATE: CAZIP CODE:
94043
CAPACITY:14CENSUS: 0DATE:
01/28/2022
UNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:Betty BedregalTIME COMPLETED:
06:46 PM
ALLEGATION(S):
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Child inappropriately touched while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jonathan Williams and Licensing Program Manager (LPM) Diane Perez met with Licensee, Betty Bedregal, unnanounced for the purposes of delivery of Revocation and Expedited Temporary Suspension Order (TSO) for the above allegation. Present during this inspection was the Licensee and the Licensee's adult son.

The allegation that a daycare child was inappropriately touched while in care has been SUBSTANTIATED. Based on the investigation conducted by Investigator Eddie Phung of Investigation Bureau (IB) and MVPD’s interviews, observations, record review(s), and forensic investigation, the preponderance of evidence standard has been met; therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Health and Safety Code, Section 1596.885 and Regulation Section 102423 are being cited on the attached LIC 9099D for a Type A violation.

Appeal Rights provided. Exit interview conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
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 52-CC-20210907153025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BEDREGAL, BETTY
FACILITY NUMBER: 434411407
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/28/2022
Section Cited
CCR
102423(a)(2)
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Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishing and equipment.

This requirement was not met as evidenced by:
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A Temporary Suspension Order was served on the facility today, 01/28/2022.
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Allegation that a child in care was touched inappropriately by the licensee's husband, who lives at the facility address, was substantiated.
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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: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2