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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343625093
Report Date: 08/26/2025
Date Signed: 08/26/2025 01:06:53 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
07/29/2025 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250729164126
FACILITY NAME:BAGCI, MUSAFACILITY NUMBER:
343625093
ADMINISTRATOR:BAGCI, MUSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 261-8880
CITY:MATHERSTATE: CAZIP CODE:
95655
CAPACITY:14CENSUS: DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Musa BagciTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Child was sexually abused while in care
INVESTIGATION FINDINGS:
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Regional Manager, Natalie Dunaway, Licensing Program Manager (LPM) Jeevun Birk-Miller, and Licensing Program Analysts Erwina Pascual-Golamco and Gagandeep Singh (LPA) met with Licensee, Musa Bagci, to deliver findings of the above allegation. Purpose of the inspection was explained.

Investigation was conducted by Department's Investigations Branch. Interviews were conducted and records were reviewed. Child was interviewed at the SAFE Center in Sacramento and consistent statements were made on at least three occasions. Information collected by Investigations Branch corroborated the allegation. The preponderance of evidence standard has been met, and the allegation is SUBSTANTIATED.
Type A Title 22 Deficiency has been issued on the attached LIC9099-D page. Licensee was informed of the Type A deficiency and Civil Penalty cited today. Exit interview was conducted with Licensee, Musa Bagci and appeal rights were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
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 2
Control Number 03-CC-20250729164126
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: BAGCI, MUSA
FACILITY NUMBER: 343625093
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/26/2025
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights... These rights include...(4)To be free from corporal or unusual punishment, infliction of pain...coercion, threat, mental abuse, or other actions of a punitive nature...

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Licensee is ceasing operations. Temporary Suspension Order (TSO) was issued today.
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This requirement is not met as evidenced by: based on Investigations Branch (IB) interview and record review, Licensee did not comply with the section cited above, as (IB) confirmed that a child was sexually abused by an adult resident while in care, 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.
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2