343623021-7-21-2021-03-CC-MMAA-C56233-20210721170137

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343623021
Report Date: 07/21/2021
Date Signed: 07/21/2021 01:24:17 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
05/03/2021 and conducted by Evaluator Joleen Kenney

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210503165320

FACILITY NAME:	BASS, AMANI		FACILITY NUMBER:	343623021
ADMINISTRATOR:	BASS, AMANI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 867-9797
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95833
CAPACITY:	14	CENSUS: 0	DATE:	07/21/2021
		UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Amani Bass, Licensee		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

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Licensee interferes with children's toileting.
Licensee did not ensure the facility is free from pests.

INVESTIGATION FINDINGS:

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On 7/21/2021 at 1:05 PM, Licensing Program Analyst, Joleen Kenney conducted a follow up complaint inspection and met with the Licensee, Amani Bass. LPA Kenney informed the Licensee that it was alleged that the Licensee interferes with children toileting by giving time limitations while the children are in the bathroom. The Licensee denied the allegations and stated that children have full access to the two bathrooms in her home and there are no time limits placed on the children. Although it was alleged that the Licensee put time limits on children while in the bathroom, there was minimal information provided regarding what were the limitations. Parent and children interviews were conducted and did not identify any additional information to corroborate the allegation. Based on the information obtained, this allegation was determined to be unsubstantiated.

It was also alleged that the Licensee did not ensure the facility is free from pests and that spiders and ants were observed in her home. Interviews that were conducted did identify that spiders and ants have
(report continued on next page LIC9099C)

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: 07/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021

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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Control Number 03-CC-20210503165320

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: BASS, AMANI	FACILITY NUMBER: 343623021
	VISIT DATE: 07/21/2021

NARRATIVE

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been seen both inside and outside of the day-care home. The Licensee stated that she has a professional pest control company that has been servicing her home for the last year. The Licensee provided a list of service dates that were conducted on her home. LPA Kenney also spoke with the pest control company that confirmed the services that were provided. Although the Licensee has made attempts to ensure the pest problem was being handled, the Licensee could have been more proactive by contacting the pest control company when additional services were needed. Based on the information obtained, this allegation was determined to be unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen Kenney	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021

LIC9099 (FAS) - (06/04)

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