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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313623424
Report Date: 09/22/2023
Date Signed: 09/22/2023 11:30:57 AM

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
09/06/2023 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230906141334
FACILITY NAME:LI, MIAOMIAOFACILITY NUMBER:
313623424
ADMINISTRATOR:LI, MIAOMIAOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 508-5160
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY:14CENSUS: 3DATE:
09/22/2023
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Miaomiao LiTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Licensee not providing adequate supervision resulting in child being inappropriately touched while in care.
Licensee does not allow authorized representatives to enter the daycare.
Licensee does not provide adequate hydration to children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jeremey McClain met with licensee Miaomiao Li to deliver findings for of a complaint investigation. Upon arrival, LPA observed care and supervision of three children. Licensee’s husband was present during today’s inspection. The following was alleged against the facility: 1) Licensee not providing adequate supervision resulting in child being inappropriately touched while in care, 2) Licensee does not allow authorized representatives to enter the daycare, and 3) Licensee does not provide adequate hydration to children in care.
During the investigation, LPA conducted interviews with the licensee and parents and made observations at home. Evidence gathered did not corroborate or refute the allegations. Interviews were conclusive that authorized representatives have not been denied entry when they have asked. Evidence does not suggest that licensee and or assistants are not providing adequate supervision. There was not enough evidence to suggest that children are not provided enough water or liquids throughout the day.
The preponderance of evidence standard has not been met; therefore, the allegations are determined to be unsubstantiated.
There were no Title 22 deficiencies resulting from the investigation. LPA reviewed this report with Licensee and provided a Notice of Site Visit, which must be posted for 30 days. LPA provided licensee with a copy of appeal rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
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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