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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343620505
Report Date: 11/18/2021
Date Signed: 11/18/2021 11:50:29 AM



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
10/01/2021 and conducted by Evaluator Karyn Guerra
COMPLAINT CONTROL NUMBER: 03-CC-20211001070422
FACILITY NAME:TOTS OF LOVEFACILITY NUMBER:
343620505
ADMINISTRATOR:VANESSA GRANTFACILITY TYPE:
850
ADDRESS:5619 MARCONI AVENUETELEPHONE:
(916) 689-8687
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:24CENSUS: 0DATE:
11/18/2021
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Courtney WilliamsTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Measures were not taken to keep kitchen and storage areas free of vermin

Staff use inappropriate forms of discipline
INVESTIGATION FINDINGS:
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At 9:30 a.m. on Thursday, November 18th, 2021, Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Courtney Williams, for the purpose of a complaint inspection regarding the above allegations. During today's inspection, LPA conducted interviews and received documents. It was alleged that measures were not taken to keep kitchen and storage areas free of vermin. Licensee denied the allegation and stated that there have been some issues with squirrels for which pest control was called. LPA observed receipts for pest control services and observed a pest trap in the facility. It was also alleged that staff used inappropriate forms of discipline. There was a concern for yelling and grabbing children. Throughout the course of the investigation, LPA conducted interviews and made observations. Staff interviewed stated that the facility utilizes positive redirection and communication. Children interviewed did not reveal any concerns. The allegations

report continued on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 03-CC-20211001070422
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: TOTS OF LOVE
FACILITY NUMBER: 343620505
VISIT DATE: 11/18/2021
NARRATIVE
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are unsubstantiated. Although the alleged violations may have occurred or are valid, the preponderance of evidence standard has not been met to fully prove or disprove that the alleged violations occurred, therefore they are unsubstantiated. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for a period of 30 days.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2