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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623779
Report Date: 11/09/2021
Date Signed: 11/09/2021 02:23:32 PM

Substantiated


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
09/21/2021 and conducted by Evaluator Tanya Washington
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210921084424
FACILITY NAME:SUNDAY,GREGORY JR.FACILITY NUMBER:
343623779
ADMINISTRATOR:SUNDAY, GREGORY JRFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 904-2089
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:14CENSUS: 0DATE:
11/09/2021
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Gregory Sunday Jr.TIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Adult spanked infant as a form of discipline, leaving bruises.
INVESTIGATION FINDINGS:
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On November 9, 2021 at 1:30 PM, Licensing Program Manager, Roxana Saravia and Licensing Program Analyst, Tanya Washington met with Licensee, Gregory Sunday, Jr., to deliver complaint finding for the allegation mentioned above. During today's inspection there were no children present in the home.

It was alleged that Licensee Sunday spanked Child #1 as a form of discipline, leaving bruises. The complaint investigation was conducted by Investigations Bureau, Investigator Sonia Boyal. During the investigation, interviews were conducted with staff, children, parents of children, observations were made and records pertaining to the allegation were reviewed. Some children interviewed stated that they have witnessed Licensee Sunday "whoop" younger children, however the older children did not get "whooped".
Continued on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
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 3
Control Number 03-CC-20210921084424
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: SUNDAY,GREGORY JR.
FACILITY NUMBER: 343623779
VISIT DATE: 11/09/2021
NARRATIVE
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According to Child #1's parent, Licensee Sunday Jr., admitted to spanking Child #1 due to Child #1 poking another child on the eye and trying to leave the designated baby room. During interviews and Licensee's written statement, Licensee retracted the admission made to parent of Child #1. Licensee stated he thought the issue would go away if he admitted the incident.

Medical record revealed that Child #1's bilateral buttocks had marked ecchymosis, but no lacerations. Medical records state that the bruising on the buttocks appeared consistent with forceful strikes to the buttock.

Based upon evidence obtained, there is a preponderance of evidence to support the allegation; therefore, the finding is SUBSTANTIATED.

Licensee is being cited an enhanced civil penalty for violating physical abuse in the amount of $2,000.

Title 22 deficiency is cited on the subsequent page of this report (LIC9099D). Licensee acknowledges, that for TYPE A DEFICIENCIES ONLY upon receipt, Licensee shall post LIC9099-D with Type A deficiency 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. LIC9224 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. This report was reviewed with the Licensee.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 03-CC-20210921084424
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: SUNDAY,GREGORY JR.
FACILITY NUMBER: 343623779
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/03/2021
Section Cited
CCR
102423(a)(4)
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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: ...
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Licensee will submit a written statement to correct the violation.

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This requirement is not met as evidenced: Licensee spanked Child #1 leaving brusing. This is an immidiate risk to the health and safety of children in care.
Enhanced civil penalty in the amount of $2,000 is assessed.
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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: Roxana Saravia
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3