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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 553615674
Report Date: 08/23/2024
Date Signed: 08/23/2024 11:05:33 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/02/2024 and conducted by Evaluator Elizabeth Santiago
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240802140446
FACILITY NAME:BALANCO, EMILYFACILITY NUMBER:
553615674
ADMINISTRATOR:LOPEZ, EMILYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 559-3948
CITY:SONORASTATE: CAZIP CODE:
95370
CAPACITY:14CENSUS: 3DATE:
08/23/2024
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Licensee, Emily BalancoTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Licensee does not live at the facility
INVESTIGATION FINDINGS:
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On August 23, 2024 Licensing Program Analyst (LPA) Elizabeth Santiago and Licensing Program Manager (LPM) Bettina Engelman met with licensee Emily Balanco to deliver the findings of the above complaint investigation. There were three (3) children in attendance and an adult assistant was also present today.

LPA Tobias Lake conducted the investigation, including interviews with staff, parents and the licensee, observations, and review of documents relevant to this complaint. It was alleged that licensee Emily Balanco does not live at this home, which is the facility licensed by the Department. LPA learned that licensee Balanco left the home on July 7, 2024, and moved to Hawaii, while her staff continued to provide child care at this facility in her absence. Licensee admitted to leaving the facility without notifying the Department. Licensee Balanco returned to the facility on August 12, 2024; however, she will leave again on August 24 2024 and submitted a statement indicating that she will cease operations and close the facility at that time.

Report continued on 9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Elizabeth Santiago
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
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 3
Control Number 53-CC-20240802140446
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BALANCO, EMILY
FACILITY NUMBER: 553615674
VISIT DATE: 08/23/2024
NARRATIVE
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Based on LPA’s observations and interviews, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22 Division and Chapter number) are being cited on the attached LIC 9099-D.

This report must be posted for 30 days and must be provided to the parents of the children currently in care, as well as the parents of children enrolled over the next 12 months. An exit interview was conducted in which the report was reviewed and discussed with licensee.

Appeal rights were discussed and a printed version was given to licensee, Emily Balanco.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Elizabeth Santiago
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20240802140446
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BALANCO, EMILY
FACILITY NUMBER: 553615674
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/23/2024
Section Cited
CCR
102352(f)(1)
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102352 (f) (1) "Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away.
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Licensee stated that she will leave the licensed facility again, and will cease operation on August 24, 2024.
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This requirement was not met as evidenced by: Licensee admitted to moving away from her own home on July 7,2024, leaving her assistants to provide childcare at the facility for the period of July 7 – August 12, 2024.
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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: Chayntel Hunter
LICENSING EVALUATOR NAME: Elizabeth Santiago
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3