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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 054500738
Report Date: 02/19/2026
Date Signed: 02/19/2026 03:16:00 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/09/2026 and conducted by Evaluator Sarah Tibbett
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20260109142239
FACILITY NAME:SARAH KELLY'S CHILD CARE & LEARNING CENTERFACILITY NUMBER:
054500738
ADMINISTRATOR:SAMANTHA ARTIAGAFACILITY TYPE:
850
ADDRESS:4423 SIX MILE ROADTELEPHONE:
(209) 263-2295
CITY:ANGELS CAMPSTATE: CAZIP CODE:
95222
CAPACITY:35CENSUS: DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Sarah KellyTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff failed to provide copies of licensing reports that document a Type A deficiency
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Tibbett and Licensing Program Manager (LPM) Bettina Engelman met with licensee, Sarah Kelly, in the Regional Licensing Office to deliver the findings for the above complaint investigation.
The complainant alleged that they were asked to sign documents on January 5, 2026, which included Acknowledgement Forms (LIC9224) for receiving licensing reports documenting a type A deficiency. The complainant was not aware of Type A deficiencies issued on July 10, 2025; August 12, 2025; September 24, 2025; and December 12, 2025.
When LPAs Deborah Khashe and Katy Velazquez conducted an Annual Inspection on December 12, 2025, none of the four reviewed child files contained signed LIC 9224 Forms for all 3 Type A deficiencies previously issued. On January 14, 2026, LPA Deborah Khashe and LPM Engelman conducted an inspection at the facility and reviewed children’s files. Three of the four files reviewed still lacked one or more of the signed LIC 9224 Forms.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Sarah Tibbett
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
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 3
Control Number 53-CC-20260109142239
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SARAH KELLY'S CHILD CARE & LEARNING CENTER
FACILITY NUMBER: 054500738
VISIT DATE: 02/19/2026
NARRATIVE
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LPA Sarah Tibbett interviewed 8 families. Two of these families reported that they did not know about all the Type A violations. A third family stated that they were given forms to sign; however, they were not told what they were for.

Licensee Kelly stated that she had provided licensing reports to parents and obtained signed LIC 9224 forms. She did not know why signed LIC 9224 forms were missing from child files when reviewed by licensing staff on December 12, 2025 and January 14, 2026.

Based on the information obtained during the investigation the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following Title 22 Deficiency is being cited on the subsequent 9099-D page.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Sarah Tibbett
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20260109142239
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SARAH KELLY'S CHILD CARE & LEARNING CENTER
FACILITY NUMBER: 054500738
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/19/2026
Section Cited
HSC
1596.8595c
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A licensed child care facility or home shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as
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Licensee submitted copies of signed LIC 9224 forms. Deficiency cleared.
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specified in paragraph (1) of subdivision (a) of Section 1596.893b.
This requirement was not met as evidenced by: LPA learned that facility staff did not provide all families copies of licensing reports documenting a Type A deficiency dated 7/10/25; 8/12/25; 9/2/25; 12/12/25.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Sarah Tibbett
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3