343618333-4-2-2026-03-CC-JBMR-DTBW4E-20260420165723

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343618333
Report Date: 04/02/2026
Date Signed: 04/02/2026 11:03:28 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
02/10/2026 and conducted by Evaluator Erwina Pascual-Golamco

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20260210122923

FACILITY NAME:	FERGUSON-DOSS, DEBORAH		FACILITY NUMBER:	343618333
ADMINISTRATOR:	FERGUSON-DOSS, DEBORAH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 294-0788
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	14	CENSUS: 5	DATE:	04/02/2026
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Deborah Fergusson-Doss		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff did not notify parent of incidents.
Due to lack of supervision, children hit other children causing injury.

INVESTIGATION FINDINGS:

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Throughout the course of the investigation, LPA toured the facility, including all areas accessible to children, observed Licensee provide care to children, requested facility documents and conducted interviews.

LPA interviews, documentation and statements were inconsistent to corroborate the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted and report was reviewed with Licensee, Deborah Ferguson-Doss. Appeal rights were provided, and a Notice of Site visit was given to Licensee, who will post it where visible to parents/guardians for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

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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