344500446-5-11-2026-53-CC-KGUA-DU3QK8-20260514121355

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 344500446
Report Date: 05/11/2026
Date Signed: 05/11/2026 02:11:51 PM

Unsubstantiated

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
05/07/2026 and conducted by Evaluator Katy Velazquez

COMPLAINT CONTROL NUMBER: 53-CC-20260507102955

FACILITY NAME:	FORTUNE PRESCHOOL		FACILITY NUMBER:	344500446
ADMINISTRATOR:	MICHELLE ROY		FACILITY TYPE:	850
ADDRESS:	9424 BIG HORN BOULEVARD		TELEPHONE:	(916) 793-3671
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95758
CAPACITY:	84	CENSUS: 34	DATE:	05/11/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Michelle Roy		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff inappropriately spoke with child.

INVESTIGATION FINDINGS:

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On 05/11/2026, Licensing Program Analyst Katy Velazquez (LPA) conducted an unannounced field visit to conduct a complaint investigation regarding the above allegation. LPA disclosed the purpose of the inspection and was granted entrance. LPA observed a census of 34 preschool aged children. LPA toured the 3 and 4 year old combination classroom and observed 17 preschoolers being supervised by 2 staff members. LPA accessed Guardian to determine that all required adults were background cleared and associated to the license. LPA met with Director Michelle Roy (D1).
Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, interviews, reviewed and collected documentation. LPA reviewed the facility’s file and collected documentation pertaining to the allegation. It was alleged that staff spoke inappropriately to a child by asking the child about her and her sibling's home life. Interviews with children did not reveal anything to support or deny the allegation. Interviews with staff members revealed that on this occasion, the class was working on a playground clean-up day.
CONTINUED ON 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2026

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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Control Number 53-CC-20260507102955

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: FORTUNE PRESCHOOL	FACILITY NUMBER: 344500446
	VISIT DATE: 05/11/2026

NARRATIVE

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The child was talking at the gate to his/her sibling and was given a 5 minute warning to begin cleaning with his/her classmates. After the 5 minutes, a staff member approached the children at the gate. The staff member said, "It's everyone's responsibility to clean-up. Does your brother/sister help clean-up at home?"
Based on interviews, there was not a preponderance of evidence to prove or negate the allegation, therefore the allegation is UNSUBSTANTIATED. In the areas that were evaluated on 05/11/2026, no deficiencies were cited during today's inspection. An exit interview was conducted with Director Roy and Appeal Rights were provided by LPA. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2026

LIC9099 (FAS) - (06/04)

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