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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393622973
Report Date: 02/15/2023
Date Signed: 02/15/2023 03:07:12 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
12/07/2022 and conducted by Evaluator Tiffanie Diep
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20221207120135
FACILITY NAME:JAMES, MEGANFACILITY NUMBER:
393622973
ADMINISTRATOR:JAMES, MEGANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 810-1961
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY:14CENSUS: 10DATE:
02/15/2023
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Megan JamesTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Criminal Record Clearance - Licensee allowed an uncleared adult to live in the home
INVESTIGATION FINDINGS:
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On 02/15/2023 at 2:15 PM, Licensing Program Analyst (LPA) Tiffanie Diep met with Licensee, Megan James, to conduct an unannounced visit to deliver the findings of a complaint investigation regarding the above allegation. LPA observed one staff and ten chldren were also present in the Family Child Care Home.

It was alleged that Licensee allowed an uncleared adult to live in the home. During the course of the investigation, LPA made observations at the facility and obtained relevant documents. LPA did not observe any signs of another adult living in the home. LPA conducted interviews with the Licensee, staff, day care children, and multiple parents. Interviews conducted and information obtained revealed that Licensee is the only adult living in the home.

Continues on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
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 4
Control Number 53-CC-20221207120135
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: JAMES, MEGAN
FACILITY NUMBER: 393622973
VISIT DATE: 02/15/2023
NARRATIVE
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Based on the information obtained throughout the course of the investigation, the above allegation could not be substantiated or dismissed. Although the allegation might have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted and report was reviewed with the licensee, Megan James. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4