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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274416019
Report Date: 06/15/2026
Date Signed: 06/15/2026 11:37:41 AM

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
05/06/2026 and conducted by Evaluator Deanna Villagrana
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20260506104332
FACILITY NAME:ROBLEDO RAMIREZ, ROXANAFACILITY NUMBER:
274416019
ADMINISTRATOR:ROXANA ROBLEDO RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 484-4083
CITY:ROYAL OAKSSTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 9DATE:
06/15/2026
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Roxana Robledo RamirezTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Provider not present 80% of the time.
Provider’s assistant left out of ratio.
INVESTIGATION FINDINGS:
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On 06/15/2026, Licensing Program Analysts (LPAs) Deanna Villagrana and Diana DeLeon met with licensee Roxana Robledo Ramirez for an unannounced visit to deliver findings for the above allegation. LPAs explained the nature of the visit. Present were licensee, licensee's husband, assistant and nine day care children including three infants.

Based on record review, interviews, and licensee self admitted to leaving the facility to for more than four hours during day care hours, leaving two assistants alone caring for 12 children and also leaving one assistant alone with eight children out of ratio, the preponderance of evidence standard has been met, therefore the above allegation was found to be SUBSTANTIATED. California Code of Regulations, are being cited on attached LIC9099D. Licensee admitted on Thursday 04/09/2026, she took her child to the beach and left her two assistants alone caring for 12 children for more than four hours. Licensee was not present 80% of the day. Licensee also stated she has left to run errands leaving her assistant with no more eight children. LPAs verified the children that were left with assistant was one infant and seven preschool children. Licensee was operating out of ratio.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
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 07-CC-20260506104332
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ROBLEDO RAMIREZ, ROXANA
FACILITY NUMBER: 274416019
VISIT DATE: 06/15/2026
NARRATIVE
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The following type B deficiencies were cited on the attached page (809-D). Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

Exit interview conducted and report was reviewed with the licensee Roxana Robledo Ramirez.

A notice of site visit was given to Roxana Robledo Ramirez and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Appeal rights were provided.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20260506104332
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ROBLEDO RAMIREZ, ROXANA
FACILITY NUMBER: 274416019
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/29/2026
Section Cited
CCR
102416.5
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If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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Licensee will submit a statement stating how she will remain in compliance with regulation to CCLD by POC date.
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This requirement was not met as evidenced by LPAs verified the children that were left with assistant was one infant and seven preschool children. This poses a potential risk Health, Safety Personal Rights risk to children in care.
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Type B
06/29/2026
Section Cited
CCR
102417(a)
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Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
This requirement was not met as evidenced by Licensee admitted on Thursday 04/09/2026, she took her child to the beach and left her two assistants alone caring for 12 children for more than four hours.
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Licensee will submit a statement stating how she will remain in compliance with regulation to CCLD by POC date.
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This poses a potential risk Health, Safety Personal Rights risk 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.
SUPERVISOR'S NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3