343622265-3-20-2023-03-CC-NDUY-CQDU2T-20230329151229

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343622265
Report Date: 03/20/2023
Date Signed: 03/20/2023 02:34:06 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
01/04/2023 and conducted by Evaluator Jennifer Velasco

COMPLAINT CONTROL NUMBER: 03-CC-20230104112542

FACILITY NAME:	CARBAJAL ATTAOUS, SARA		FACILITY NUMBER:	343622265
ADMINISTRATOR:	CARBAJAL ATTAOUS, SARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 390-9791
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	14	CENSUS: 1	DATE:	03/20/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Sara Carbajal Attaous		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee hit a child in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst Jennifer Velasco (LPA) conducted a follow up complaint investigation inspection and met with Licensee Sara Carbajal Attaous (L1). LPA toured the facility and observed ## children in care with L1.

It was alleged L1 hit a child in care. During the investigation, LPA observed care, conducted interviews, and requested and reviewed facility documents. LPA observations, witness statements, and facility document reviews failed to corroborate the allegation that L1 hit a child in care. The preponderance of evidence standard has not been met; therefore, the allegation is unsubstantiated.

Exit interview was conducted, appeal rights were provided, and a Notice of Site was posted and must remain posted where visible to parents for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer Velasco	TELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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 1