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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343620505
Report Date: 12/15/2021
Date Signed: 12/15/2021 02:22:58 PM

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
10/25/2021 and conducted by Evaluator Karyn Guerra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20211025171440
FACILITY NAME:TOTS OF LOVEFACILITY NUMBER:
343620505
ADMINISTRATOR:VANESSA GRANTFACILITY TYPE:
850
ADDRESS:5619 MARCONI AVENUETELEPHONE:
(916) 689-8687
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:24CENSUS: 0DATE:
12/15/2021
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Courtney WilliamsTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Facility did not adhere to admissions agreement
INVESTIGATION FINDINGS:
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At 12:40 p.m. on Wednesday, December 15th, 2021, Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Courtney Williams, for the purpose of a complaint inspection to deliver findings. It was alleged that the facility did not adhere to the admissions agreement. There was a concern that the facility was not open during operating hours at the beginning of the day, 6:30 a.m., on multuple occasions. An incident was also referenced in which the faclity was closed for the day without notification. Throughout the course of the investigation, LPA conducted interviews and obtained documents. The closure date in question was observed on the program calendar as a holiday. The Licensee admitted to arriving late to the facility after opening time, however, there was conflicting information on how often it occurred. LPA was unable to conduct surveillance due to temporary closure of the facility. The allegation is unsubstantiated. Although the alleged violation may have happened or is valid, the preponderance of

report continued on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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 2
Control Number 03-CC-20211025171440
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: TOTS OF LOVE
FACILITY NUMBER: 343620505
VISIT DATE: 12/15/2021
NARRATIVE
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has not been met to fully prove or disprove that the alleged violation did or did not occur, therefore it is unsubstantiated. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2