343621637-7-18-2025-03-CC-ABLI-DJZT7V-20250728142920

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343621637
Report Date: 07/18/2025
Date Signed: 07/18/2025 01:00:52 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
04/29/2025 and conducted by Evaluator Fabian Schwartz

COMPLAINT CONTROL NUMBER: 03-CC-20250429155915

FACILITY NAME:	PIERCE, TIFFANY		FACILITY NUMBER:	343621637
ADMINISTRATOR:	PIERCE, TIFFANY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 743-0397
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95833
CAPACITY:	14	CENSUS: 9	DATE:	07/18/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Tiffany Pierce		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Licensee is not present in the home the required amount of time. - Substantiated

Licensee's conduct poses a risk to day care children in care. - Substantiated

INVESTIGATION FINDINGS:

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On Friday, 18 July 2025 at approximately 9:30am Licensing Program Analyst (LPA) Fabian Schwartz met with Licensee Tiffany Pierce to deliver the findings of a complaint investigation. At the time of inspection, there were 9 children, 2 of which are infants being supervised by the Licensee and 1 Assistant.

The department received a complaint alleging that Licensee is not present in the home the required amount of time and that Licensee's conduct poses a risk to day care children in care. During today’s inspection, LPA made observations, gathered documents, and conducted interviews. LPA has observed licensee being absent while facility was operating more than Title 22 regulations allow and during today's inspection, interview with Licensee corroborated that absences were not following Title 22 regulations. During today's inspection, Licensee admitted to using corporal punishment for their grandchild during operating hours. While Licensee explains that this occured to only Licensee's grandchild, this conduct does pose a risk to day care children in care. Based on this interview, the preponderance of evidence standard has been met, therefore the above allegations are SUBSTANTIATED. ..........Report Continued on LIC9099-C........

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025

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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Control Number 03-CC-20250429155915

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: PIERCE, TIFFANY	FACILITY NUMBER: 343621637
	VISIT DATE: 07/18/2025

NARRATIVE

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Continued from LIC9099.....

As a result of the allegations being substantiated, the facility is receiving 2 Type A Title 22 deficiencies during today's inspection. The citations are 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 Licensee. 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: 07/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025

LIC9099 (FAS) - (06/04)

Page: 2 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
04/29/2025 and conducted by Evaluator Fabian Schwartz

COMPLAINT CONTROL NUMBER: 03-CC-20250429155915

FACILITY NAME:	PIERCE, TIFFANY		FACILITY NUMBER:	343621637
ADMINISTRATOR:	PIERCE, TIFFANY		FACILITY TYPE:	810
ADDRESS:	1145 SAN IGNACIO WAY		TELEPHONE:	(916) 743-0397
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95833
CAPACITY:	14	CENSUS: 9	DATE:	07/18/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Tiffany Pierce		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Licensee did not accord dignity to day care child in care. - Unsubstantiated

Licensee handled day care child in a rough manner while in care. - Unsubstantiated

INVESTIGATION FINDINGS:

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025

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-20250429155915

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: PIERCE, TIFFANY	FACILITY NUMBER: 343621637
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/18/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/19/2025 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	102417 OPERATION OF A FAMILY CHILD CARE HOME (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee misunderstood the regulation allowing temporary absences from facility. LPA reviewed regulations with Licensee during inspection and made clear the department's expectations of temporary absences. Licensee will only have future absences from home within Title 22 regulations. Deficiency Cleared during time of inspection.
	8 9 10 11 12 13 14	Based on observation, interview, and record review, the facility did not comply with the section cited above by Licensee being absent from home more than allowed by Title 22 regulations which poses an immediate health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
Type A 07/19/2025 Section Cited CCR 102423(a)(4)	1 2 3 4 5 6 7	102423 PERSONAL RIGHTS (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:......(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee misunderstood the regulations regarding discipline of their own family during daycare hours. LPA reviewed regulations with Licensee during inspection and made clear the department's policies about personal rights for children in care. Licensee states they will discontinue this practice with their family moving forward. Deficiency Cleared during time of inspection.
	8 9 10 11 12 13 14	Based on interview, the facility did not comply with the section cited above by Licensee admiting to using corporal punishment on their grandchild while they were attending childcare which poses an immediate health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14

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: 07/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025

LIC9099 (FAS) - (06/04)

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