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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343618356
Report Date: 05/08/2024
Date Signed: 05/08/2024 10:21:53 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
03/18/2024 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20240318124222
FACILITY NAME:STUART, JENNIFERFACILITY NUMBER:
343618356
ADMINISTRATOR:STUART, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 353-1136
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:14; 14CENSUS: 9DATE:
05/08/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jennifer StuartTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Licensee did not prevent daycare child from being bullied by another daycare child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erwina Pascual-Golamco and LPA Jennifer Velasco met with Facility Representative, Licensee Jennifer Stuart (Licensee), for the purpose of conducting an unannounced subsequent complaint investigation inspection pertaining to the above allegation. The purpose of today's inspection was explained to Licensee. During today's inspection, LPA conducted interviews, observed care, and obtained relevant documentation.

Witness statements, LPA observations, and/or document reviews failed to corroborate the allegation. Though witness statements showed two children may have had occasional conflicts, witness statements also showed Licensee and staff provided adequate supervision, redirection, and intervention to prevent children from bullying one another. Although the allegation may have happened, there is not a preponderance of evidence to prove the allegation; therefore, the allegation is unsubstantiated. Exit interview was conducted and report was reviewed with Facility Representative, Jennifer Stuart. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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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