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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622554
Report Date: 10/02/2025
Date Signed: 10/02/2025 01:00:20 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
07/25/2025 and conducted by Evaluator Jennie Tedlos
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20250725151534
FACILITY NAME:DOLLSON, DOTIEFACILITY NUMBER:
343622554
ADMINISTRATOR:DOLLSON, DOTIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 230-7340
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:14CENSUS: 5DATE:
10/02/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Dotie DollsonTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Lack of Supervision: Licensee did not prevent children in care from engaging in inappropriate interactions.
INVESTIGATION FINDINGS:
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On October 02, 2025, Licensing Program Analyst (LPA) Jennie Tedlos met with Licensee, Dotie Dollson, for the purpose of delivering complaint findings. LPA observed 5 children supervised by the Licensee and an Assistant. Criminal record clearances were verified.
LPA Tedlos conducted an investigation regarding the complaint allegation listed above. LPA toured the facility, conducted interviews with the Reporting Party (RP), the Licensee, an Assistant, children at the facility, and parents of children that attend and that have attended the facility. LPA also obtained pertinent documentation to assist with the investigation.
The allegation was that there was a lack of supervision. There was a concern of an incident where children engaged in inappropriate behavior that the Licensee did not prevent. The Licensee and Assistant denied the allegation. The Licensee states that there was an incident in the playroom earlier this year, but states that there was no lapse of supervision due to the Licensee’s utilization of the playroom cameras and the Assistant’s support.
Report continues on 9099-c...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
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 53-CC-20250725151534
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: DOLLSON, DOTIE
FACILITY NUMBER: 343622554
VISIT DATE: 10/02/2025
NARRATIVE
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During the course of the complaint investigation, LPA observed 2 cameras in the playroom, 1 in the nap room, 1 in the living room, 2 in the kitchen/dining room, and 4 in the outside play area. LPA observed the live feed from the cameras on an IPad displayed in the dining room/kitchen and on the Licensee’s and Assistant's phones. Licensee states that if she needs to the leave the room momentarily she watches the camera’s live feed on her phone, and the Assistant is always in close proximity to supervise the children in care. Licensee states that she may leave the room to prepare meals or to retrieve something from another room to bring to the children.

Interviews with parents do not support the allegation. Interviews with children reveal that the Licensee and Assistant are in the room watching and interacting with the children while they are playing and eating. If not both the Licensee and Assistant are supervising, one is supervising while the other is nearby.

Based on the interviews conducted, and the records reviewed, the above allegation was found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted by LPA Jennie Tedlos with Licensee, and Appeal Rights were provided. A Notice of Site Visit was posted by LPA and shall remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC9099 (FAS) - (06/04)
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