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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313611330
Report Date: 03/03/2026
Date Signed: 03/03/2026 10:58:53 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO 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
02/25/2026 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260225094722
FACILITY NAME:NELSON, ELLENFACILITY NUMBER:
313611330
ADMINISTRATOR:NELSON, ELLENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 626-9570
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:14CENSUS: 13DATE:
03/03/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ellen NelsonTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensee is operating out of capacity
INVESTIGATION FINDINGS:
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On Tuesday, March 3, 2026, Licensing Program Analyst (LPA) Lea Habtom arrived at the facility to open and close a complaint investigation. At the time of arrival there was a census of 13 children consisting of 5 infants, 6 preschool and 2 school age children being supervised by the licensee and 2 staff members. All staff present today have fingerprint clearances and associations.

Licensee is operating out of capacity

During the investigation, LPA Habtom toured the facility, conducted observation, and interviewed those pertinent to the investigation. It was alleged that the facility is operating out of capacity. LPA L. Habtom reviewed children's files and interviewed the licensee. Based on evidenced gathered, the licensee stated from February 23, 2026, through February 27, 2026, there were 6 infants attending the day care. During today's inspection, the census was 5 infants, 6 preschool, and 2 school age, which is over the approved infant ratio of 3 with a large license capacity of 14 children. Based on interviews and information collected, LPA Habtom has determined that the licensee is operating out of capacity to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
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 03-CC-20260225094722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: NELSON, ELLEN
FACILITY NUMBER: 313611330
VISIT DATE: 03/03/2026
NARRATIVE
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This report was reviewed with the licensee, Ellen Nelson. A notice of site visit was provided to be posted for 30 days. Appeal rights provided.

- Title 22 Deficiency has been cited on the attached LIC 9099-D. LPA Lea Habtom informed licensee Ellen Nelson that this report dated March 3, 2026, documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Lea Habtom informed the licensee Ellen Nelson to provide a copy of this licensing report dated March 3, 2026, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal Rights given.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20260225094722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: NELSON, ELLEN
FACILITY NUMBER: 313611330
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/04/2026
Section Cited
CCR
102416.5(d)(2)(b)
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102416.5(d)(2)(b)Staffing Ratio and Capacity: For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home b) No more than three infants are cared for during any time when more than 12 children
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The licensee states one infant will be disenrolled effective 3/3/2026, bringing the census to 12 children with 4 infants. LPA provided a ratio sheet to the provider. LPA will return to clear the deficiency.
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are being cared for. This requirement was not met as evidenced by an interview with the licensee who admitted to being over the infant ratio and the census during today's inspection which was 5 infants instead of 3. This is an immediate health and safety risk to the children in care.
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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: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3