313617066-1-10-2023-03-CC-KPES-CN9PDT-20230120101401

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313617066
Report Date: 01/10/2023
Date Signed: 01/10/2023 09:58:25 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/27/2022 and conducted by Evaluator Amanda Blesi

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20221027112232

FACILITY NAME:	BUNGER, ALEXANDRIA		FACILITY NUMBER:	313617066
ADMINISTRATOR:	BUNGER, ALEXANDRIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 899-9603
CITY:	LINCOLN	STATE: CA	ZIP CODE:	95648
CAPACITY:	14	CENSUS: 3	DATE:	01/10/2023
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Effie Greer Roberts		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Personal Rights Provider hits day care children

INVESTIGATION FINDINGS:

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At approximately 8:30 a.m. on Tuesday, January 10, 2023, Licensing Program Analyst (LPA) Amanda Blesi met with assistant, Effie Greer-Roberts, for the purpose of a complaint inspection and to deliver findings for a complaint that was initially opened on 11/02/22. LPA observed 3 children in care ages 2, 2, and 3 years old, supervised by assistant, Effie Greer Roberts. LPA was informed licensee, Alexandria Bunger, is out of state at this time and is not available. The complaint alleges staff hit children in care. During the investigation, LPA interviewed staff and children regarding the allegation. Interviews of school age children revealed when children get in trouble, they are put in a time out. LPA could not interview some children based on their young age. Although the allegation may or may not have occurred, there was insufficient evidence to corroborate a child was hit by staff; therefore, the allegation is UNSUBSTANTIATED.

Exit interview with facility representative, Effie Greer Roberts.
No deficiencies were cited. Appeal Rights provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2023

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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