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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343626706
Report Date: 05/21/2026
Date Signed: 05/21/2026 04:01:54 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
05/19/2026 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260519150544
FACILITY NAME:LEWIS, DEDRIONNAFACILITY NUMBER:
343626706
ADMINISTRATOR:LEWIS, DEDRIONNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 257-0527
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY:14CENSUS: 7DATE:
05/21/2026
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Larissa WardTIME COMPLETED:
04:20 PM
ALLEGATION(S):
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Licensee do not have a gate blocking stairway causing a hazard to daycare children.
Facility play structure is in disrepair.
INVESTIGATION FINDINGS:
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On Thursday, May 21, 2026, Licensing Program Analyst (LPA) Lea Habtom arrived at the facility to open a complaint. There were 7 children consisting of 3 infants and 4 preschool children being supervised by the licensee's two assistants. The licensee arrived during the inspection to complete the investigation. All staff present today have fingerprint clearances and associations.

LPA disclosed that the purpose of the inspection was to open a complaint investigation. LPA toured the inside of the home and observed that the stairs leading to upstairs were not barricaded. In the outside play area, several play structures in the backyard were broken or non-operable. The plastic rim on the basketball hoop in the backyard was broken, the swings were wrapped around the top bar of the play structure, and a metal bar was protruding from the slide of the play structure.

Report continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
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 4
Control Number 03-CC-20260519150544
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: LEWIS, DEDRIONNA
FACILITY NUMBER: 343626706
VISIT DATE: 05/21/2026
NARRATIVE
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Based on the investigation, the allegations the licensee does not have a gate blocking the stairway and the facility play structure is in disrepair is to be SUBSTANTIATED meaning the allegations is valid because the preponderance of evidence standard has been met.

This report was reviewed with the licensee, Dedrionna Lewis.

Deficiencies cited on 9099-D
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20260519150544
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: LEWIS, DEDRIONNA
FACILITY NUMBER: 343626706
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/04/2026
Section Cited
CCR
102417(d)
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102417(d) Operation of a Family Child Care Home: The home shall provide safe toys, play equipment and materials. This requirement was not met as evidenced by a protruding metal bar from a play structure and a broken plastic basketball rim which is a potential danger to the children in care.
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The licensee states she will throw away all the broken items in the backyard. The licensee states she will not use the backyard until the items are removed and will be taking the children to a park. LPA will return for an inspection to clear the deficiency.
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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: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20260519150544
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: LEWIS, DEDRIONNA
FACILITY NUMBER: 343626706
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/02/2026
Section Cited
CCR
102417(g)(3)
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102417(g)(3)Operation of a Family Child Care Home:The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to
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The licensee states she will purchase a baby gate today and will email LPA a confirmation of the baby gate purchase a long with the delivery date. The licensee states she will supervise the children to prevent access to the stairs.
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:(3) Where children less than five years old are in care, stairs shall be fenced or barricaded. This requirement was not met as evidenced by the stairs in the home did not have a gate which is a potential risk to the 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.
SUPERVISOR'S NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
LIC9099 (FAS) - (06/04)
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