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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624276
Report Date: 10/10/2024
Date Signed: 10/10/2024 09:05:11 AM

Unsubstantiated


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
08/14/2024 and conducted by Evaluator Mandie Goodwin
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240814112104
FACILITY NAME:MATTHEWS, RAJANNAEFACILITY NUMBER:
343624276
ADMINISTRATOR:MATTHEWS, RAJANNAEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 605-7174
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY:14CENSUS: 1DATE:
10/10/2024
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Rajannae MatthewsTIME COMPLETED:
09:20 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee allowed an uncleared adult to reside in the home
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On October 10th 2024 Licensing Program Analyst (LPA) Mandie Goodwin met with Licensee Rajannae Matthews to continued investigation and close a complaint investigation regarding the above allegation. Upon arrival there was 1 daycare child over the age of 2.

Throughout the course of the investigation LPA conducted interviews, obtained documentation, and made observations through the home. Interviews revealed conflicting information on individuals observed in the home and their involvement with daycare children. Licensee stated that she does occasionally have guests after daycare hours and that her child's father regularly picks up his child, but they do not live in the home. Licensee submitted documents of a seperate mailing address.
Although the alleged violations may have happened or are valid, the preponderance of evidence standard has not been met to fully prove or disprove that they did or did not occur, therefore, they are unsubstantiated. An exit interview was conducted with Licensee Rajannae Matthews and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
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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