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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343620826
Report Date: 01/29/2026
Date Signed: 02/02/2026 11:29:30 AM

Substantiated


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
11/03/2025 and conducted by Evaluator Andrea Cortez
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20251103144807
FACILITY NAME:WAHLSTROM, AISHAFACILITY NUMBER:
343620826
ADMINISTRATOR:WAHLSTROM, AISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 429-8856
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:14CENSUS: 7DATE:
01/29/2026
UNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:AISHA WAHLSTROMTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Medication- accessible to daycare children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Andrea Cortez met with the licensee, Aisha Wahlstrom, to deliver findings and close the investigation regarding the above allegation. LPA observed 7 napping children supervised by licensee and an Assistant. Purpose of today's inspection was explained.

The department received a complaint alleging medication was not properly stored. During the inspection, LPA observed medication in the family room table accessible to children in care. In addition, LPA reviewed physical plan and confirmed the family room is “on limits” to the children.

Based on the investigation the preponderance of evidence standard has been met; therefore the above allegation is SUBSTANTIATED.

See LIC9099-D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
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 3
Control Number 03-CC-20251103144807
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: WAHLSTROM, AISHA
FACILITY NUMBER: 343620826
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/30/2026
Section Cited
CCR
102417(g)(4)
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(4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. LPA reviewed the medication label which clearly reads “Keep Out of Reach of Children”.
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This deficiency was corrected today by removing the medication and stored in a locked cabinet. The Licensee stated understands all medications shall be stored and inaccessible to children at all times. POC is due to LPA by 1/30/26 COB.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20251103144807
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: WAHLSTROM, AISHA
FACILITY NUMBER: 343620826
VISIT DATE: 01/29/2026
NARRATIVE
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One Type A deficiency was cited on the attached LIC 9099D. Upon receipt of a Type A citation, licensee shall post and provide copies of the LIC 9099 D for parents/guardians of children in care and for parents/guardians of newly enrolled children for the next 12 months. Licensee must also keep the signed LIC 9224, acknowledging receipt of LIC 9099 D in each child's file.

Exit interview was conducted, appeal rights were provided, and Notice of Site Visit was posted. The Director understands it must remain posted for 30 days.
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3