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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343614029
Report Date: 07/10/2026
Date Signed: 07/10/2026 02:11:57 PM

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
05/26/2026 and conducted by Evaluator Soleil Marx
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260526110731
FACILITY NAME:SMALLVILLE PRESCHOOLFACILITY NUMBER:
343614029
ADMINISTRATOR:NULL SHANNONFACILITY TYPE:
850
ADDRESS:4706 ARDEN WAYTELEPHONE:
(916) 480-0632
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:72CENSUS: 28DATE:
07/10/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Shannon NullTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
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9
Personal Rights: Adult had an inappropriate interaction with child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
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9
10
11
12
13
On 07/10/2026, Licensing Program Analyst (LPA) Soleil Marx met with Director, Shannon Null, for the purpose of delivering findings for a complaint investigation pertaining to the above allegation. The purpose of today's inspection was explained. The complaint allegation was investigated by the California Department of Social Services (CDSS) Investigations Branch (IB) by Investigator V. Moleski. Throughout the course of the investigation interviews were conducted with staff, children, and parent/guardians, observations were made, and records were obtained and reviewed. The investigation concluded there was insufficient corroborating evidence obtained to support the allegation, and the preponderance of the evidence standard was not met to establish that the alleged incident occurred. Although the allegation may have occurred or may be valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED.
Exit interview conducted and report was reviewed with the Director. Appeal rights were provided. A Notice of Site Visit was issued and shall remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
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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