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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393622973
Report Date: 12/15/2021
Date Signed: 12/15/2021 12:46:16 PM

Unsubstantiated


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
09/14/2021 and conducted by Evaluator Jeevun Birk
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20210914145217
FACILITY NAME:JAMES, MEGANFACILITY NUMBER:
393622973
ADMINISTRATOR:JAMES, MEGANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 810-1961
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY:14CENSUS: 6DATE:
12/15/2021
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Megan JamesTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
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9
Adult spending time around with daycare children is uncleared.
Adult in home poses a risk to daycare children.
Adult in home throws things at children in the home.
INVESTIGATION FINDINGS:
1
2
3
4
5
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On 12/15/2021 at 11:15 AM Licensing Program Analyst (LPA) Jeevun Birk-Miller conducted an unannounced complaint investigation and met with Licensee, Megan James.The purpose was to discuss the above complaint allegations. It was alleged that an adult spending time around with daycare children is uncleared. It was alleged that an adult in the home poses a risk to daycare children and that an adult in the home throws things at children in the home. During the course of the investigation the LPA conducted interviews, reviewed documents, and made observations. LPAs Birk-Miller and Chayntel Hunter had toured the facility inside and out on 9/23/2021. Licensee stated there are no other adults residing in the facility other than herself. It was stated the only individuals who interact with children in care are her assistants. If there are visitors they do not interact with the children and/or come after hours. Five of five parents interviewed did not indicate any concerns about the adults living or working in the facility. Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding is UNSUBSTANTIATED. At this time no citations were given. An exit interview was conducted with the Licensee. At this time Notice of Site Visit was provided and shall remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Jeevun Birk
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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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