313620770-6-17-2026-03-CC-MLOR-DVRKLL-20260707080003

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313620770
Report Date: 06/17/2026
Date Signed: 06/17/2026 01:21:15 PM

Unsubstantiated

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
05/15/2026 and conducted by Evaluator Jeremey McClain

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20260515093619

FACILITY NAME:	JOHNSON, MICHELLE		FACILITY NUMBER:	313620770
ADMINISTRATOR:	JOHNSON, MICHELLE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 690-9846
CITY:	GRANITE BAY	STATE: CA	ZIP CODE:	95746
CAPACITY:	14	CENSUS: 8	DATE:	06/17/2026
		UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Michelle Johnson		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

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Licensee hit child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jeremey McClain met with licensee Michelle Johnson to deliver findings for a complaint investigation. LPA observed eight children in care.

It was alleged that licensee hit a child in care.

During the investigation reviewed conversations between licensee and former client via text, LPA observed licensee’s interaction with current children, LPA conducted interviews with parents and children in care. None of the evidence gathered suggests that the allegation is true, however there is not enough evidence to determine the allegation absolutely did not happen.Because of this, the allegation is determined to be UNSUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with licensee Michelle Johnson. Appeal rights were provided. A Notice of Site Visit was provided and shall remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

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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