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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617984
Report Date: 08/23/2022
Date Signed: 08/30/2022 10:12:27 AM

Unsubstantiated


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
04/26/2022 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220426144326
FACILITY NAME:MAHONEY, JENNIFERFACILITY NUMBER:
343617984
ADMINISTRATOR:MAHONEY, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 735-7940
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:14CENSUS: 2DATE:
08/23/2022
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Jennifer MahoneyTIME COMPLETED:
02:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights: Day-care child was inappropriately touched while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
***This is an Amended Report***

On August 23, 2022 at 1:25 pm, Licensing Program Analyst (LPA), Lea Habtom met with Licensee, Jennifer Mahoney, to deliver a complaint finding for the allegation above. During today's inspection there were 2 infants in care of licensee. There were no other adults present in the home. The investigation was conducted by the Department’s Investigation Branch, Investigator, Sergio Guerra. It was alleged that a day-care child was inappropriately touched while in care. Investigator Guerra conducted interviews with children, parent, and staff. During the course of the investigation, Investigator Guerra concluded that based on the limited information the allegation is determined to be UNSUBSTANTIATED. Although it may or may have not happened, there is not a preponderance of evidence to prove that the alleged violation occurred.

Notice of site visit provided to be posted for 30 days. No Title 22 regulations were cited during today's visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
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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