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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416782
Report Date: 06/18/2024
Date Signed: 06/18/2024 03:10:30 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, 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
06/07/2024 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240607144452
FACILITY NAME:PUENTES, LILIANAFACILITY NUMBER:
434416782
ADMINISTRATOR:LILIANA PUENTESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(954) 696-6976
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:14CENSUS: 8DATE:
06/18/2024
UNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Liliana PuentesTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Licensee is not present in the home
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marilou Monico made an unannounced Complaint Inspection. LPA met with Licensee, Liliana Puentes. LPA toured the home, conducted interviews, reviewed files, and obtained copy of documents.

Based on the information gathered during the investigation process, the daycare was in operation from June 5, 2024 thru June 7, 2024 while licensee was out of the country. The preponderance of
evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

As a result of this inspection, Type B deficiency was cited on the following page:

Exit interview conducted and report was reviewed with Licensee, Liliana Puentes.

A Notice of Site Visit was issued and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
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 07-CC-20240607144452
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PUENTES, LILIANA
FACILITY NUMBER: 434416782
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2024
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home - (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
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By POC due date: 06/21/24, Licensee states she will submit a written plan to Licensing that the daycare will be closed when she's out of the area or when out of the home more than 20% of the hours the daycare is in operation per day.
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This requirement was not met as evidenced by: The daycare was in operation from June 5, 2024 thru June 7, 2024 while licensee was out of the country. This poses a potential risk to the health, safety, and personal rights to children in care.
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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: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
LIC9099 (FAS) - (06/04)
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