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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343625612
Report Date: 08/01/2024
Date Signed: 08/01/2024 03:07:50 PM

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
06/19/2024 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240619132100
FACILITY NAME:GHEBRETINSAE, LULAFACILITY NUMBER:
343625612
ADMINISTRATOR:GHEBRETINSAE, LULAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 910-7832
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:14CENSUS: 2DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Lula GhebretinsaeTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Licensee is not following safe sleep practices.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Gagandeep Singh met with licensee, Lula Ghebretinsae, to deliver the findings of the allegation above.

During the investigation, LPA inspected the facility multiple times and conducted the interviews. During the inspections, LPA observed the licensee has electronic bouncers in the home, but did not observe any child sleeping in the boucers. From the interviews, it was found that the licensee use the bouncers to help the child relax, but using cribs for napping. LPA observed the children sleeping in the cribs during the inspections. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Copy of this report was reviewed and provided with the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
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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