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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344500844
Report Date: 03/25/2025
Date Signed: 03/25/2025 02:14:36 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
03/20/2025 and conducted by Evaluator Katy Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20250320123700
FACILITY NAME:HOLMES, YVONNEFACILITY NUMBER:
344500844
ADMINISTRATOR:YVONNE HOLMESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 715-1305
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:14CENSUS: 3DATE:
03/25/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Yvonne HolmesTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee did not ensure the safety of day care child around pets.
Licensee talks inappropriately to child in care.
INVESTIGATION FINDINGS:
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On 03/25/2025, Licensing Program Analyst Katy Velazquez (LPA) conducted an unannounced complaint investigation and delivered the findings for the above allegations. LPA arrived at the Family Childcare Home and was met by Licensee Yvonne Holmes (L1). LPA disclosed the purpose of the inspection and was granted entrance in the FCCH. LPA toured the facility and observed 1 preschool aged child and 2 school aged children being supervised by L1 and her adult daughter. LPA determined, through accessing Guardian, that all required adults were background cleared and associated to the license.
Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, and interviews. LPA requested a copy of the Facility Roster. It was alleged that L1 did not ensure the safety of day care child(ren) around pets and that L1 talks inappropriately to children in care. Interviews revealed that L1 was fostering 2 dogs who nipped at the children; the dogs are no longer in the Family Child Care Home. Interviews revealed that L1 told the child(ren) to not be "tattle-tales nor snitches."
Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. CONTINUED ON 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
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 6
Control Number 53-CC-20250320123700
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: HOLMES, YVONNE
FACILITY NUMBER: 344500844
VISIT DATE: 03/25/2025
NARRATIVE
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A Type-A and a Type-B deficiency were cited on a subsequent 9099-D page. D1 acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099-D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. An exit interview was conducted, and the report was reviewed with D1. LPA provided Licensee Appeal Rights to Licensee Holmes. 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: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 53-CC-20250320123700
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: HOLMES, YVONNE
FACILITY NUMBER: 344500844
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/26/2025
Section Cited
CCR
102423(a)(2)
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Personal Rights (a) Each child receiving services from a family child care home shall...
(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This requirement was not met as evidenced by 2 dogs mingling with daycare children
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Licensee Holmes will write a plan to establish how she will prevent dog(s) from nipping or biting child(ren) in the future. The 2 dogs referenced in the complaint have been removed from the FCCH; however, Licensee may foster more dog(s) in the future.
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after Licensee Holmes saw children pull the tail of the dog(s) and children report being nipped at by the dogs. This poses/posed an immediate health, safety, and or personal rights risk to person(s) in care.
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Licensee will email the plan to LPA by 5:00 PM on 03/26/2025.
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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: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 53-CC-20250320123700
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: HOLMES, YVONNE
FACILITY NUMBER: 344500844
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/01/2025
Section Cited
CCR
102423(a)(1)
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Personal Rights (a) Each child receiving services from a family child care home shall...
(1) To be treated with dignity in his/her personal relationship with staff and other persons.
This regulation was not met as evidenced by Licensee admitting to telling child(ren) to
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Licensee Holmes will watch the video "Children's Personal Rights in Child Care" available at CDSS.ca.gov.
Licensee Holmes will email LPA stating that she watched the video in entirety by 5:00 PM on 04/01/2025.
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not be a "tattle-tale or snitch."
This poses/posed a potential health, safety, or person rights risk to person(s) 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: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
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
03/20/2025 and conducted by Evaluator Katy Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20250320123700

FACILITY NAME:HOLMES, YVONNEFACILITY NUMBER:
344500844
ADMINISTRATOR:YVONNE HOLMESFACILITY TYPE:
810
ADDRESS:5018 BRIARGLEN COURTTELEPHONE:
(916) 715-1305
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:14CENSUS: 3DATE:
03/25/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Yvonne HolmesTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee yells at children in care.
INVESTIGATION FINDINGS:
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On 03/25/2025, Licensing Program Analyst Katy Velazquez (LPA) conducted an unannounced field visit and delivered the findings for the above allegation. LPA arrived at the Family Childcare Home and was met by Licensee Yvonne Holmes (L1). LPA disclosed the purpose of the inspection and was granted entrance in the FCCH. LPA toured the facility and observed 1 preschool aged child and 2 school aged children being supervised by L1 and her adult daughter. LPA determined, through accessing Guardian, that all required adults were background cleared and associated to the license.
Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, and interviews. LPA requested the Facilty Roster.
It was alleged that L1 yells at children in care. LPA has never observed L1 to yell at children in care. Interviews with day care children did not reveal corroboration for the allegation. Based on interviews, there was not a preponderance of evidence to prove or negate the allegation, and therefore the allegation is UNSUBSTANTIATED.
CONTINUED ON 9099-C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 53-CC-20250320123700
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: HOLMES, YVONNE
FACILITY NUMBER: 344500844
VISIT DATE: 03/25/2025
NARRATIVE
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In the areas that were evaluated on 03/25/2025, no deficiencies were cited during today's inspection. An exit interview was conducted with Licensee Holmes 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: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6