343623008-8-12-2019-03-CC-RSAA-BFP2BD-20190903171454

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343623008
Report Date: 08/12/2019
Date Signed: 08/12/2019 02:29:33 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
06/11/2019 and conducted by Evaluator Christopher Bello

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20190611134513

FACILITY NAME:	GRAY, LATONIA		FACILITY NUMBER:	343623008
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 3	DATE:	08/12/2019
		UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Latonia Gray		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Personal Rights - Licensee failed to provide a comfortable environment for children in care
Other - Licensee is operating over capacity

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christopher Bello met with licensee Latonia Gray to close a complaint investigation and deliver the findings for the above allegations. Upon arrival, LPA observed three Children. Also present was licensee’s husband and daughter. During the investigation LPA collected documents, made observations and conducted interviews with parents, children, residents of the home and licensee pertaining to the investigation. Although the majority of the interviews did not corroborate the allegations there was however an interview that did support that the licensee did not provide comfortable accommodations for children in care and was operating out of Teacher-Child Ratios and capacity. LPA did not observe the facility out of ratio or capacity during the course of the investigation. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated

There were no Title 22 deficiencies during today’s investigation. An exit interview was conducted and a Notice of Site Visit posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Christopher Bello	TELEPHONE: (916) 862-0844
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019

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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