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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622265
Report Date: 01/10/2020
Date Signed: 01/10/2020 12:52:16 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
12/19/2019 and conducted by Evaluator Kelly Ferrara
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20191219084201
FACILITY NAME:CARBAJAL ATTAOUS, SARAFACILITY NUMBER:
343622265
ADMINISTRATOR:CARBAJAL ATTAOUS, SARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 390-9791
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:14CENSUS: 9DATE:
01/10/2020
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Sara Carbajal AttaousTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Facility staff yell at day care children.
Lack of supervision resulting in inappropriate interactions between day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kelly Ferrara conducted a complaint investigation follow up inspection at the facility and met with Licensee Sara Carbajal Attaous. During today's inspection there were nine children in care with the Licensee and two assistants. LPA reviewed relevant documentation and interviewed the Licensee, parents, children, and the reporting party during the investigation.

It was alleged that the Licensee and one of the assistants yell at the children in care. During interviews, there was conflicting information regarding whether the Licensee and staff yell at the children out of frustration with a harsh tone or raise their voices in order to gain a child’s attention. Based on the investigation, LPA has concluded that volume of voice used may be perceived as inappropriate by some; however, LPA is unable to prove that children’s personal rights were violated. It was alleged that there was a lack of supervision which led to one child being rough with another child and the Licensee and staff were not there to help. Based on the interviews conducted with parents and children, there were conflicting statements regarding whether or not any inappropriate interactions occurred or if there was a lack of supervision in the home.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly FerraraTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
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-20191219084201
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: CARBAJAL ATTAOUS, SARA
FACILITY NUMBER: 343622265
VISIT DATE: 01/10/2020
NARRATIVE
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Based on the evidence obtained and observations made by LPA, the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove it.

Exit interview was conducted and Notice of Site Visit was posted. The Licensee understands it must remain posted for 30 days.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly FerraraTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2