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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313622875
Report Date: 07/28/2025
Date Signed: 07/28/2025 03:15:16 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
05/27/2025 and conducted by Evaluator Stephanie Piring
COMPLAINT CONTROL NUMBER: 03-CC-20250527143748
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: 18DATE:
07/28/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Banafsheh (Bonnie) LeeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not ensure Infant changing table is in good repair
INVESTIGATION FINDINGS:
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On July 28, 2025 Licensing Program Analysts (LPA) Stephanie Piring met with Facility Representative Banafsheh (Bonnie) Lee to deliver complaint investigation findings. Upon arrival, LPA observed 18 infant children, supervised by 5 staff members across 2 classrooms.

It was alleged that Staff do not ensure Infant changing table is in good repair. During the the investigation, LPA conducted Interviews with the director/owner and staff, and made observations. LPA observed a changing pad that had been worn from repeated use and cleaning during LPAs visit on 6/3/25. This concern was brought to the attention of the director and the changing pad was replaced on the spot. Based on observation the preponderance of evidence standard has been met; therefore, the above allegation is SUBSTANTIATED.

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: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
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 4
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
05/27/2025 and conducted by Evaluator Stephanie Piring
COMPLAINT CONTROL NUMBER: 03-CC-20250527143748

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: 18DATE:
07/28/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Banafsheh (Bonnie) LeeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
Staff do not provide adequate supervision to children in care
Staff do not ensure cleaning agents are inacessible to children
Staff do not ensure toys are properly sanitized
Staff are operating out of ratio
INVESTIGATION FINDINGS:
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On July 28, 2025 Licensing Program Analysts (LPA) Stephanie Piring met with Facility Representative Banafsheh (Bonnie) Lee to deliver complaint investigation findings. Upon arrival, LPA observed 18 infant children, supervised by 5 staff members across 2 classrooms.

It was alleged that staff do not provide adequate supervision to children in care. During the course of the investigation, LPA made observations, and conducted interviews with the director, and staff. During LPAs visits on 6/3/25, and 7/28/25, LPA observed adequate supervision of children in both the infant and toddler classroom.

It was alleged Staff do not ensure cleaning agents are inacessible to children. Interveiws with staff stated cleaning agents are stored in baskets above the sink areas out of reach of children. LPA observed the storage of cleaning agents in the classrooms and with in the facility and confirmed cleaning agents are stored where they are inacessible to the children.

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

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20250527143748
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: 07/28/2025
NARRATIVE
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It was alleged, Staff do not ensure toys are properly sanitized. Staff state that toys that have been used by children are placed in a bucket by the sink, to be cleaned and sanitized. LPA observed the bucket with dirty toys for later sanitizing and confirmed that they were placed out of reach of children and no longer available for play.

It was alleged that staff are operating out of ratio. During LPAs visits on 6/3/25, and 7/28/25, LPA observed both the infant classroom and toddler classroom operating with in ratio.

Although the allegations may have happened, there is not a preponderance of evidence to prove the allegation; therefore, the allegation is UNSUBSTANTIATED. Exit interview was conducted and report was reviewed with Facility Representative Banafsheh (Bonnie) Lee . Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20250527143748
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: 07/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/28/2025
Section Cited
CCR
101439(h)(3)
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101439 Infant Care Center Fixtures, Furniture, Equipment and Supplies
(h) Infant changing tables shall: (3) Be maintained in good repair and safe condition.

This requirement is not met as evidenced by:
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LPA brought the worn changing pad to the directors attention and the changing pad was changed immediatly during LPAs visit on 6/3/25.
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Based on observation, Facility did not comply with the section cited above, as LPA observed a worn changing pad, 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: 07/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4