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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313624307
Report Date: 08/10/2022
Date Signed: 08/10/2022 10:44:15 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/04/2022 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220804135652
FACILITY NAME:TULLOH, SHANINFACILITY NUMBER:
313624307
ADMINISTRATOR:TULLOH, SHANINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 834-1342
CITY:ROSEVILLESTATE: ZIP CODE:
95661
CAPACITY:14CENSUS: DATE:
08/10/2022
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Shanin TullohTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Unlicensed Care being Provided
INVESTIGATION FINDINGS:
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On August 10th, 2022 at 8:00 am Licensing Program Analysts (LPAs) Jeremey McClain and Mandie Goodwin conducted surveillance of the home of Shanin Tulloh for the purpose of a complaint investigation. LPAs investigated an allegation that Shanin was providing unlicensed care. Upon entry into the home at 9:05 am, Shanin was observed holding an infant child, with another child in the playroom. At 9:20 am, LPAs observed 7 children on the right side of the of the back yard of the home supervised by Cynthia Fuller, whom Shanin stated was her grandmother. In total, LPAs observed 9 children, including Shanin’s two children. LPAs reviewed available children’s records. LPAs were able to verify at least 4 infants and 2 preschool age children in care. Shanin was unable to provide files for one child and did not have files for her children.

Shanin currently has a pending Change of Location application for a Large Family Child Care License. Shanin previously had a Small Family Child Care License addressed at: 925 Coloma Way, Roseville CA 95661. Shanin stted that she has provided care at 1235 Palm Ave, Roseville CA 95661 since the middle of June 2022.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
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-20220804135652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: TULLOH, SHANIN
FACILITY NUMBER: 313624307
VISIT DATE: 08/10/2022
NARRATIVE
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Based on observation, the preponderance of evidence standard has been met; therefore, the allegation is determined to be substantiated.

LPA Jeremey MCClain informed Shanin Tulloh that this report dated August 10th, 2022 documents Type A citation(s) which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Jeremey McClain informed Shanin Tulloh to provide a copy of this licensing report dated August 10th, 2022 that documents any Type A citation(s) 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 the child's file for verification.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

This report was reviewed with Shanin Tulloh, and an exit interview was conducted

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SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20220804135652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: TULLOH, SHANIN
FACILITY NUMBER: 313624307
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/11/2022
Section Cited
HSC
1596.8
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No person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license, therefore as provided in this act. This requirement was not met as evidenced by observation and interview with applicant Shanin Husfelt. During a complaint investigation,
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A prelicensing inspection is scheduled for 08/12/2022. Shanin understands that she cannot provide care for children until after the inspection has been completed and application has been approved.
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LPAs observed 9 children in care, which included Shanin's two children. Shanin is not currently licensed and has a pending application for a Change of Location and Capacity Increase. This is an immediate risk to the health and safety of children 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: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC9099 (FAS) - (06/04)
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