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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313622875
Report Date: 06/17/2025
Date Signed: 06/17/2025 02:14:30 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
06/11/2025 and conducted by Evaluator Stephanie Piring
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250611155653
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: 20DATE:
06/17/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Banafsheh (Bonnie) LeeTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Facility failed to notify parents of type A deficiencies
INVESTIGATION FINDINGS:
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On June 17, 2025 Licensing Program Analysts (LPA) Stephanie Piring met with Facility Representative Banafsheh (Bonnie) Lee to open and close a complaint investigation. Upon arrival, LPA observed 20 infant children were present, supervised by 5 staff members across 2 classrooms.

It was alleged that Facility failed to notify parents of type A deficiencies. During the course of the investigation, LPA Interviewed the director/owner and staff, made observations, and reviewed relevent documentation. Interviews with director revealed that a message was sent out to parents in regards to the citations issued on 6/3/25; however, parents were not provided with copies of the reports nor were the reports made available for the parents to view at the facility. LPA also observed that reports dated 6/3/25, where type A citations were issued, were not hung up in the facility for parent review. Based on observation and interview the preponderance of evidence standard has been met; therefore, the above allegation are substantiated.

A Tittle 22 deficiency is being issued today. An exit interveiw was conducted and this report was reviewed with Facility Representative, Banafsheh (Bonnie) Lee. A notice of cite was given and must remain posted for 30 days. Appeal rights were provided.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
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 2
Control Number 03-CC-20250611155653
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: 06/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/20/2025
Section Cited
HSC
1596.8595(c)(1)
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(c)(1) A licensed child day care facility shall provide to the parents or guardians 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...
This requirement is not met as evidenced by:
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Facility Representative stated they will provide Type A licensing reports to parents/guardians of children enrolled and any newly enrolled children. Facility Representaive will email proof or Aknowledgment of reciept to LPA by POC due date.
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Based on interview and observation, Facility did not comply with the section cited above, as Facility Representative confirmed that parents were not provided copies of Type A licensing reports, which poses a potential 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: 06/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
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