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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313622875
Report Date: 06/03/2025
Date Signed: 06/03/2025 03:17:50 PM

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
04/17/2025 and conducted by Evaluator Stephanie Piring
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250417132854
FACILITY NAME:PLAY CARE LEARNING CENTER (INF)FACILITY NUMBER:
313622875
ADMINISTRATOR:TELLO, ALEJANDRAFACILITY TYPE:
830
ADDRESS:4080 BASELINE ROADTELEPHONE:
(916) 746-9960
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:36CENSUS: 21DATE:
06/03/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Banafsheh (Bonnie) LeeTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Unqualified staff is providing care and supervision to infant.
INVESTIGATION FINDINGS:
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On June 3, 2025 Licensing Program Analysts (LPA) Stephanie Piring met with Facility Representative Banafsheh (Bonnie) Lee to continue and close a complaint investigation. Upon arrival 21 infant children were present, supervised by 6 staff members across 2 classrooms.

It was alleged that unqualified staff is providing care and supervision to infant. During the course of the investigation, LPA requested education transcripts for all staff employed as Teachers at the facility. LPA was provided copies of transcripts from the employee files for all staff. Upon observation and review of the transcripts, LPA observed that many of the transcripts were altered. LPA observed many transcripts for different staff members looked similar with the same courses taken at the same institutions. LPA observed identifying information such as date of birth, social security, or student identification numbers were the same. LPA returned to the facility and requested staff pull up their transcripts as proof that the transcripts provided were authentic. The facility was unable to provide the proof during the visit, however agreed to send LPA transcripts through an authentic website Parchment. LPA did not observe authentic transcripts for staff observed in the classrooms during inspections on 4/23/25, 5/20/25, and 6/3/2025. LPA confirmed that the staff were not qualified infant teachers.

Based on observation the preponderance of evidence standard has been met; therefore, the above allegations are substantiated. Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
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-20250417132854
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: PLAY CARE LEARNING CENTER (INF)
FACILITY NUMBER: 313622875
VISIT DATE: 06/03/2025
NARRATIVE
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The Facility Representative was informed that this report dated 06/03/25 documents one Type A citation and must be posted for parental review for 30 consecutive days. The facility must also provide a copy of this licensing report 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 each child's file for verification. Exit interview was conducted and a copy of this report was given to the Facility Representative Banafsheh (Bonnie) Lee. Notice of site was given and must remain posted for parental review for 30 days. Appeal rights were provided.

See LIC 9099-D for deficiencies.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20250417132854
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: PLAY CARE LEARNING CENTER (INF)
FACILITY NUMBER: 313622875
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/04/2025
Section Cited
CCR
101416.2
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(c) To be a fully qualified infant care teacher, a teacher shall have the following: (1) Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university. (A) At least three of the units required in (c)(1) above shall be related to the care of infants or shall contain instruction specific to infants.

This requirement is not met as evidenced by:
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LPA provided assistance to Facility Representative to move staff into the classroom that do qualifiy. LPA observed proof that staff members are enrolled in required courses. Facility Representative will send exception request for staff to LPA.
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based on observations and record review, the facility did not comply with the section cited above as staff observed in the infant classrooms do not meet the qualifications, which poses an immediate health, safety, or personal rights risk to persons 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: Stephanie Piring
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3