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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624419
Report Date: 08/20/2026
Date Signed: 08/20/2026 04:54:03 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
08/12/2026 and conducted by Evaluator Joshua Hatch
COMPLAINT CONTROL NUMBER: 03-CC-20260812081630
FACILITY NAME:RANDOLPH, DEANDREFACILITY NUMBER:
343624419
ADMINISTRATOR:FRY, DEONNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 790-6201
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:14CENSUS: 16DATE:
08/20/2026
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Deandre RandolphTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Licensee is operating over capacity.
INVESTIGATION FINDINGS:
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On Thursday, August 20, 2026, Licensing Program Analysts (LPA) Joshua Hatch met with licensee Deandre Randolph for the purpose of an unannounced complaint investigation and to deliver findings for the above allegation. LPA observed a census of 16 children supervised by the licensee and three staff at the facility on the day of the visit.

It was alleged that the licensee is operating over capacity. During the investigation, LPA observed that the licensee was over the licensed capacity at the time of the visit. Records reviewed and statements obtained during the investigation corroborated LPAs observations that the licensee was operating over license capacity. Based on observations, record review, and interviews, the preponderance of evidence standard has been met; therefore, the above allegations are SUBSTANTIATED.

Page 1. Continued on LIC9099-C...

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Joshua Hatch
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026
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-20260812081630
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: RANDOLPH, DEANDRE
FACILITY NUMBER: 343624419
VISIT DATE: 08/20/2026
NARRATIVE
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LPA Joshua Hatch informed licensee Deandre Randolph that this report dated August 20,2026 document(s) One Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Joshua Hatch informed the licensee to provide a copy of this licensing report dated August 20, 2026 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with licensee Deandre Randolph. Appeal rights were provided.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Joshua Hatch
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20260812081630
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: RANDOLPH, DEANDRE
FACILITY NUMBER: 343624419
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/21/2026
Section Cited
CCR
102416.5(a)
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Staffing Ratio and Capacity 102416.5(a):(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:
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LPA will conduct a follow up visit to ensure compliance. Licensee discussed capacity of license with LPA.
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Based on observation, interview, and record review the licensee did not comply with the section cited above in that 16 children were in care which exceeds the maximum capacity of the license, 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.
SUPERVISOR'S NAME: Mai Lor
LICENSING EVALUATOR NAME: Joshua Hatch
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026
LIC9099 (FAS) - (06/04)
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