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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343621029
Report Date: 09/30/2025
Date Signed: 09/30/2025 05:35:26 PM

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
07/10/2025 and conducted by Evaluator Fabian Schwartz
COMPLAINT CONTROL NUMBER: 03-CC-20250710133818
FACILITY NAME:ROUSE, LEOLAFACILITY NUMBER:
343621029
ADMINISTRATOR:ROUSE, LEOLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 717-9016
CITY:SACRAMENTOSTATE: CAZIP CODE:
95829
CAPACITY:14CENSUS: 7DATE:
09/30/2025
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Leola RouseTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Licensee did not provide a safe sleeping environment for infant. - Substantiated
INVESTIGATION FINDINGS:
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On Tuesday, 30 September, 2025, at approximately 4:00 PM Licensing Program Analyst (LPA) Fabian Schwartz met with Licensee's Assistant Promise Rouse for the purpose of a Complaint investigation inspection. At time of inspection, 2 Assistants were supervising 7 preschool children, 1 of which was an infant. Licensee arrived to Facility at 5:05pm to review report with LPA.

It was alleged that Licensee did not provide a safe sleeping environment for infant. Throughout the course of the investigation, LPA conducted interviews, reviewed documents, and made observations. During Today's inspection, LPA observed an infant asleep in a play yard in infant room with the door cracked. The sleeping infant could not be observed without moving the door. Infant's play yard had a mobile attached to it, hanging over the top of the play yard. Based on LPA's observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Report Continued on LIC-9099-C........
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
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 4
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
07/10/2025 and conducted by Evaluator Fabian Schwartz
COMPLAINT CONTROL NUMBER: 03-CC-20250710133818

FACILITY NAME:ROUSE, LEOLAFACILITY NUMBER:
343621029
ADMINISTRATOR:ROUSE, LEOLAFACILITY TYPE:
810
ADDRESS:9993 WYATT RANCH WAYTELEPHONE:
(916) 717-9016
CITY:SACRAMENTOSTATE: CAZIP CODE:
95829
CAPACITY:14CENSUS: 7DATE:
09/30/2025
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Leola RouseTIME COMPLETED:
05:45 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Provider(s) spoke to day care child in an inappropriate manner. - Unsubstantiated
INVESTIGATION FINDINGS:
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5
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On Tuesday, 30 September, 2025, at approximately 4:00 PM Licensing Program Analyst (LPA) Fabian Schwartz met with Licensee's Assistant Promise Rouse for the purpose of a Complaint investigation inspection. At time of inspection, 2 Assistants were supervising 7 preschool children, 1 of which was an infant. Licensee arrived to Facility at to review report with LPA.
It was alleged that providers spoke to day care child in an inappropriate manner. Throughout the course of the investigation, LPA conducted interviews, reviewed documents, and made observations. Throughout the investigation, LPA's interviews with staff and parents as well as LPA's observations in facility did not produce a preponderance of evidence to support the allegation.
Although the alleged violation may have happened or is valid, the preponderance of evidence standard has not been met to fully prove or disprove that they did or did not occur, therefore, the allegations are unsubstantiated.
This report was reviewed with the Licensee and an exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20250710133818
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: ROUSE, LEOLA
FACILITY NUMBER: 343621029
VISIT DATE: 09/30/2025
NARRATIVE
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Report Continued from LIC-9099........


1 Type A Title 22 deficiency is being cited for improper infant safe sleep. That citation is being explained in more detail on accompanying LIC9099-D Page.

Title 22 deficiencies are cited on the subsequent pages of this report. Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, Licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Facility. LIC 9224 and Appeal Rights were provided. Licensee's signature on this report acknowledges receipt of these rights.

This report was reviewed with the Licensee and an exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20250710133818
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: ROUSE, LEOLA
FACILITY NUMBER: 343621029
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/01/2025
Section Cited
CCR
102425(b)(3)
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102425 INFANT SAFE SLEEP
(b) Cribs or play yards shall be free from all loose articles and objects....... (3) There shall be no objects hanging above or attached to the side of the crib.

This requirement was not met as evidenced by:
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During inspection, Licensee's assistant immediately removed Mobile from hanging above crib bringing facility back to compliance. LPA consulted regulations with Licensee about door remaining open enough to observe infants without moving door, and Licensee will have door remain open during future childcare. Deficiency Cleared during time of inspection.
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Based on observation and interview, the licensee did not comply with the section cited above by having a hanging Mobile attached to sides of Infant's play yard behind a cracked door where infant could not be observed from outside room which poses an immediate health, safety or personal rights risk to persons in care.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4