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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344500274
Report Date: 05/08/2026
Date Signed: 05/08/2026 02:11:01 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
04/10/2026 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20260410160258
FACILITY NAME:LOPEZ, PAULINAFACILITY NUMBER:
344500274
ADMINISTRATOR:PAULINA LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 612-5905
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY:14CENSUS: 12DATE:
05/08/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Paulina Lopez TIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Personal Rights: Adult in the home sexually abused daycare child.
INVESTIGATION FINDINGS:
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Regional Manager (RM) Roxana Saravia and Licensing Program Analyst (LPA) Stacey Williams met with Licensee, Paulina Lopez, on May 8, 2026, at approximately 1:15 PM to deliver the findings for the above complaint allegation. Investigator Vincent Moleski from the Department’s Investigation Branch assisted with the investigation. The reporting party accused Adult #1 of abusing Child #1 multiple times on the same day at the facility. Investigator Moleski collaborated with members of the Elk Grove Police Department, who are also investigating this case.

Based on the evidence obtained so far, the preponderance of evidence standard has been met. Therefore, the above allegation was substantiated. The following type A Deficiency was cited on the subsequent page 9099-D. An Enhanced Civil Penalty was also issued today. Appeal Rights were provided to the Licensee, and an exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
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 2
Control Number 53-CC-20260410160258
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LOPEZ, PAULINA
FACILITY NUMBER: 344500274
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/08/2026
Section Cited
CCR
102423(a)(1)
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Personal Rights. Each child receiving services from a family childcare home shall be accorded dignity in his/her personal relationships with staff, residents and other persons.
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The Department has taken legal action, and a Temporary Suspension Order (TSO) was issued to the Licensee today, 05/08/2026. An Enhanced Civil Penalty was also issued today, 05/08/2026.
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This requirement was not met as evidenced by: Adult #1 abused Child #1 on three occasions the same day at the facility, which poses an immediate risk to the health, safety or personal rights 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: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
LIC9099 (FAS) - (06/04)
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