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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343626684
Report Date: 09/30/2025
Date Signed: 09/30/2025 02:41:03 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
09/23/2025 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250923153000
FACILITY NAME:WALTON, OLIVIAFACILITY NUMBER:
343626684
ADMINISTRATOR:WALTON, OLIVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 413-0422
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95742
CAPACITY:14CENSUS: 8DATE:
09/30/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Olivia WaltonTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Uncleared adult providing care and supervision to daycare children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco met with Licensee, Olivia Walton (L), to conduct a complaint investigation and to deliver findings. The purpose of today's inspection was explained.

During today's inspection, LPA observed Licensee provide care to children, conducted interviews, and requested facility documents. Throughout the course of the investigation, LPA’s interviews and record review shows a staff did not have a criminal record clearance when staff turned 18 years old while working at the facility. LPA's interviews and record reviews corroborated the allegation, Uncleared adult providing care and supervision to daycare children. The preponderance of evidence standard has been met, and the allegation is SUBSTANTIATED.

continued on LIC9099-C and LIC9099-D

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
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 3
Control Number 03-CC-20250923153000
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: WALTON, OLIVIA
FACILITY NUMBER: 343626684
VISIT DATE: 09/30/2025
NARRATIVE
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Type A Title 22 Deficiency has been issued on the attached LIC 9099-D page. A civil penalty is being assessed for Caregiver Background Check. LPA informed licensee Olivia Walton that this report dated 09/30/25 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA informed the licensee to provide a copy of this licensing report dated 09/30/25 that documents any Type A citation 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 to licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Licensee has been provided with appeal rights. Exit interview was conducted, report was reviewed with the licensee, Olivia Walton.
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20250923153000
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: WALTON, OLIVIA
FACILITY NUMBER: 343626684
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/01/2025
Section Cited
CCR
102370(d)(1)
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102370 Criminal Record Clearance (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by:
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Licensee (L) stated staffing changes have occurred, and L stated moving forward she will make sure staff has a cleared fingerprint prior to working at the facility. Deficiency cleared at time of visit.
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Based on LPA interviews and record review, the licensee (L) did not comply with the section cited above as LPA’s interviews and record reviews show a staff did not have a criminal record clearance when staff turned 18 years old while working at the facility which poses an immediate health, safety or personal rights risk to children 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: 09/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3