343618933-5-9-2019-03-CC-RSAA-BES29Y-20190805171241

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343618933
Report Date: 05/09/2019
Date Signed: 05/09/2019 02:18:59 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
05/08/2019 and conducted by Evaluator Joleen Kenney

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20190508181915

FACILITY NAME:	DUPRE, MILANI		FACILITY NUMBER:	343618933
ADMINISTRATOR:	DUPRE, MILANI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 419-9552
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95835
CAPACITY:	14	CENSUS: 6	DATE:	05/09/2019
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Milani Dupre, Licensee		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Adult in the home hit a day-care child.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Joleen Kenney and Tanya Washington conducted an unannounced complaint inspection and met with the Licensee, Milani Dupre. The purpose of the inspection was to investigate the allegation that Adult #1 in the home hit a day-care child resulting in a bloody nose. The Licensee denied the allegation and stated that child #1 had a bloody nose from picking their nose. The Licensee stated that this is not the first time that child #1 had a bloody nose. It was reported that the child was in the same room as the Licensee when the child's nose began to bleed and not with Adult #1. The Licensee stated that she cleaned the child. LPA conducted interviews with parents, children and staff which identified conflicting information. Based on the information obtained, the allegation is determined to be Unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen Kenney	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

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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