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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343625383
Report Date: 04/14/2025
Date Signed: 04/14/2025 03:41:15 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
04/02/2025 and conducted by Evaluator Andrea Cortez
COMPLAINT CONTROL NUMBER: 03-CC-20250402094121
FACILITY NAME:THOMPSON, TORINFACILITY NUMBER:
343625383
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
04/14/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Torin ThompsonTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Neglect/Lack of Supervision-Licensee allowed an uncleared adult to provide care and supervision to day-care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Andrea Cortez met with licensee Torin Thompson to deliver findings for the above allegation. LPA investigated through interviews. Through the course of the interviews LPA found that the licensee allowed an uncleared adult to provide care to day-care children resulting in lack of supervision.

Based on LPA observations and interviews which were conducted and a record review the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations Title 22 are being cited on the attached LIC 9099-D. This report must be posted for 30 days and must be provided to the parents of the children currently in care, as well as the parents of children enrolled over the next 12 months.

An exit interview was conducted in which the report was reviewed and discussed with licensee.
Appeal rights were discussed and a printed version was given to licensee.



Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2025
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-20250402094121
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: THOMPSON, TORIN
FACILITY NUMBER: 343625383
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/15/2025
Section Cited
CCR
102369(8)(B)(C)
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Pursuant to Section 102370(8), the fingerprints of any applicant for a family day care home license, and the following adults,(B)Any person who provides care and supervision to the children.
(C)Any staff person or employee who has contact with the children.


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Licensee shall obtain a criminal record clearance for all individuals prior to working/living in the home. No individual shall not be allowed to work/live in the facility until a criminal record clearance is obtained.
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All adult persons shall obtain a backround clearance or a criminal record exemption as required by the Department. LPA investigated through interviews. Through the course of the interviews LPA found that the licensee allowed an uncleared adult to provide care resulting in lack of supervision.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2