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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313620290
Report Date: 12/05/2024
Date Signed: 12/05/2024 11:22:35 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO 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
12/02/2024 and conducted by Evaluator Michelle Perez
COMPLAINT CONTROL NUMBER: 03-CC-20241202153055

FACILITY NAME:O'BRIEN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
313620290
ADMINISTRATOR:TREMLIN, HEATHERFACILITY TYPE:
830
ADDRESS:4035 GRASS VALLEY HWY, STE KTELEPHONE:
(530) 885-0530
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY:18CENSUS: 9DATE:
12/05/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Heather TremlinTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff does not communicate with daycare child's responsible party
INVESTIGATION FINDINGS:
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On December 5, 2024, Licensing Program Analyst (LPA) Michelle Perez, met with center director Heather Tremlin, for the purpose of a complaint investigation. Upon arrival there were 9 infants and toddlers with two teachers.

The complaint alleges staff does not communicate with daycare child's responsible party. LPA interviewed the Reporting Party (RP) and site director, to find there are legal documents requiring the facility to provide childcare records to the father of child #1 (C1), when requested. Childcare facility was unaware of that the most recent legal documents required this action to be fulfilled when requested. LPA reviewed the legal documents with the facility and they will now comply with record requests for C1, when asked.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 03-CC-20241202153055
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: O'BRIEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 313620290
VISIT DATE: 12/05/2024
NARRATIVE
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Based on LPAs observations and interviews, which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Citation to follow on 9099-D.

This report was reviewed with site director and appeal rights were provided.

A notice of site visit was provided and will be posted for 30 days.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 03-CC-20241202153055
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: O'BRIEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 313620290
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/12/2024
Section Cited
CCR
101221(E)
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Children's records- A child's records shall also be open to inspection by the child's authorized representative.
This was not evidenced by: Facility unaware that a court order mandated the father of C1 to receive records when requested.
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Facility will now comply and provide records of C1 to father, when requested.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5