313622875-8-23-2021-03-CC-KPES-C85TQK-20211025145600

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313622875
Report Date: 08/23/2021
Date Signed: 08/23/2021 04:01:12 PM

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
08/12/2021 and conducted by Evaluator Katrina Owens

COMPLAINT CONTROL NUMBER: 03-CC-20210812110413

FACILITY NAME:	PLAY CARE LEARNING CENTER (INF)		FACILITY NUMBER:	313622875
ADMINISTRATOR:	LEE, BONNIE ASADI		FACILITY TYPE:	830
ADDRESS:	4080 BASELINE ROAD		TELEPHONE:	(916) 746-9960
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	36	CENSUS: 20	DATE:	08/23/2021
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Bonnie Asadi Lee - Owner		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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LICENSE- Facililty is operating out of ratio.

INVESTIGATION FINDINGS:

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An unannounced inspection was conducted today by Licensing Program Analyst Owens. LPA met with Owner, Bonnie Asadi-Lee. The purpose of the inspection is to close a complaint investigation that was originally opened on 8/13/2021. A census of children were taken.

Based on conflicting interviews, the allegation that the facility is operating out of ratio is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur.

An exit interview was conducted. Appeal rights were given and explained to the licensee.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina Owens	TELEPHONE: 916-263-6280
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

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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