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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434413542
Report Date: 01/23/2025
Date Signed: 01/23/2025 04:10:05 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/17/2025 and conducted by Evaluator Anna Morales
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250117104029
FACILITY NAME:ARRIOLA, DENISEFACILITY NUMBER:
434413542
ADMINISTRATOR:ARRIOLA, DENISEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 313-9406
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:14CENSUS: 0DATE:
01/23/2025
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Denise ArriolaTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1. Licensee does not spend appropriate amount of time during day care's operational hours
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst(LPA) Anna Morales conducted an initial Complaint investigation. Licensee contacted Denise Arriola via telephone and Licensee informed LPA that due to an personal emergency, she wouldn't be able to meet LPA at the facility.
During the course of the interview, Licensee informed LPA Morales that there were occasions that she did not spend the appropriate amount of time at the facility during operational hours, Monday- Friday, 7:00am-5:30pm,
due to personal emergencies.
Based on the available evidence, the preponderance of evidence standard has been met and therefore the above allegation is SUBSTANTIATED.
This report was disclosed over the telephone due to personal emergency and In lieu of the Licensee's signature, her response to LPA's email will be the confirmation of receipt of this licensing report.
As a result, a Technical Violation is being issued. Appeals Rights Given.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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