<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313611421
Report Date: 08/17/2023
Date Signed: 08/17/2023 10:54:47 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
08/15/2023 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230815101346
FACILITY NAME:BANHAM, MARLENEFACILITY NUMBER:
313611421
ADMINISTRATOR:BANHAM, MARLENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 632-9280
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY:14CENSUS: 8DATE:
08/17/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Marlene BanhamTIME COMPLETED:
11:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is providing care in garage without authorization
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 17, 2023 Licensing Program Analyst (LPA) Lea Habtom met with licensee Marlene Banham to open and close a complaint. Upon arrival, LPA observed 1 infant and 7 preschool children being supervised by 2 staff and licensee. All staff present during today’s inspection have fingerprint clearances and associations.

Licensee is providing care in garage without authorization

During the investigation, LPA Lea Habtom toured the facility, conducted observation, and interviewed those pertinent to the investigation. It was alleged that the licensee is providing care in the garage without authorization. At the time of arrival, LPA Lea Habtom observed 5 children in the garage and also confirmed garage usage for day care children from past inspections. From interviews, LPA Lea Habtom gathered that the garage is not permitted for day care usage. Based on observation and the investigation, LPA Lea Habtom gathered that the licensee is providing care in the garage without authorization to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met. Title 22 deficiencies were cited on today's inspection on 9099-D. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted with licensee. Appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
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 2
Control Number 03-CC-20230815101346
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: BANHAM, MARLENE
FACILITY NUMBER: 313611421
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
08/18/2023
Section Cited
CCR
102416.3(a)(1)
1
2
3
4
5
6
7
1012416.3(a)(1)Alterations to Existing Buildings or Grounds: Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: Conversion of a garage (either attached or detached) into a "child care" room.
1
2
3
4
5
6
7
Licensee states she will remove items from the garage to the living room and provide care in the living room or backyard until the garage is permitted.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: LPA Lea Habtom observed 5 children in the garage with no proof of the gargage being permitted for day care usage which is an immediate risk to the health & safety of children in care.
8
9
10
11
12
13
14
Licensee is aware to contact LPA Lea Habtom once permit is granted to request a new fire clearance to approve day care in the garage. Licensee is aware to provide supervision so that children do not enter the garage while adhering to the fire clearance.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2