153909883-10-15-2021-04-CC-AJUZ-C89V3U-20211029160514

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 153909883
Report Date: 10/15/2021
Date Signed: 10/15/2021 10:20:07 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/29/2021 and conducted by Evaluator Caroline Harris

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20210729154406

FACILITY NAME:	SIMS, SHAINA & JAMILAH FAMILY CHILD CARE		FACILITY NUMBER:	153909883
ADMINISTRATOR:	SIMS, SHAINA & JAMILAH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 548-0072
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93314
CAPACITY:	14	CENSUS: 14	DATE:	10/15/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Jamiliah & Shaina Sims		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff fed daycare child food that she is allergic to.
Staff allow children with cold symptoms to stay at the facility.

INVESTIGATION FINDINGS:

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On 10/15/21 an unannounced complaint inspection was conducted today by Licensing Program Analyst (LPA) Caroline Harris. LPA met with licensee's, Jamiliah & Shaina Sims and a census was taken. LPA explained the above listed allegations to the licensee's. The purpose of today’s visit was to close the complaint investigation. The investigation consisted of interviews with the licensee, parents, children, as well as a facility records review.

Although the allegation may have happened or is valid, based on statements received during the investigation, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstanuated.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency is cited during today's visit. Exit interview with licensee's Jamiliah & Shaina Sims was conducted. A copy of this report was provided to the licensee's and a Notice of Site Visit which is to be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021

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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