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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344501253
Report Date: 03/07/2025
Date Signed: 03/07/2025 04:10:26 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
12/13/2024 and conducted by Evaluator Deborah Khashe
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20241213133423
FACILITY NAME:CHAMPIONS @ JAMES MCKEEFACILITY NUMBER:
344501253
ADMINISTRATOR:JACKSON, LYSANDREAFACILITY TYPE:
860
ADDRESS:8701 HALVERSON DRTELEPHONE:
(916) 714-1195
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:45CENSUS: 8DATE:
03/07/2025
UNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Brittany, TororkTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility does not change diaper.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Facility does not change diaper.On February 7, 2025, Licensing Program Analyst (LPA), Deborah Khashe and Licensing Program Analyst (LPA) Corina Beckley conducted an unannounced site visit for the purpose of delivering a complaint finding for the above allegation. Throughout the course of the investigation, LPA Khashe collected documentation and conducted staff and parent interviews. LPA observed diapering logs that indicated that the child was changed or sent home to be changed. Based on interviews conducted with staff, Champions at James McKee typically does not toilet/change children. Champions practice was to send children home if an accident occurred. LPA was informed by Brittany Torock that they now have a plan for children that need assistance with toileting. Based on interviews conducted and documents reviewed the preponderance of evidence standard has not been met; therefore, the above allegation is found to be UNSUBSTANTIATED.

An exit interview was conducted, and the report was reviewed with Brittany Torock. LPA Khashe provided Appeal Rights to Facility Representative, Brittany Torock. A Notice of Site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Deborah Khashe
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025
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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