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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393601726
Report Date: 01/28/2025
Date Signed: 01/28/2025 10:24:24 AM

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
12/19/2024 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20241219152812
FACILITY NAME:NAVARRO, ALLISONFACILITY NUMBER:
393601726
ADMINISTRATOR:NAVARRO, ALLISONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 941-0722
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY:14CENSUS: 3DATE:
01/28/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Navarro, AllisonTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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1. Child was left in soiled clothing.
INVESTIGATION FINDINGS:
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On January 28th, 2025, at 9:30 AM, Licensing Program Analysts (LPAs) David Nguyen and Lauren Scott met with licensee, Allison Navarro to deliver the findings of the complaint investigation regarding the above allegation. LPAs were granted entrance into daycare facility by licensee. There were three (3) children present at the time of the visit.

It was alleged that “Child was left in soiled clothing.” Throughout the investigation, LPA Nguyen conducted observations and interviewed with licensee, licensee’s assistant, parents, and reporting party. Based on the photos taken on (12/17/2024), LPA learned that C1 was left in soiled clothing with fecal matter during time of pick up.



Report continues on LIC9099-C....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
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 5
Control Number 53-CC-20241219152812
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: NAVARRO, ALLISON
FACILITY NUMBER: 393601726
VISIT DATE: 01/28/2025
NARRATIVE
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Based on interviews and photos received, multiple disclosures were made showing C1 was left in soiled clothing during time of pick up on (December 17th, 2024). In addition, licensee admitted that she did not change C1's soiled clothing on the date of the incident. Therefore, the preponderance of evidence standard has been met, and the above allegation is found to be SUBSTANTIATED. Title 22 regulations are being cited on the attached 9099-D page.

An exit interview was conducted with the licensee, Allison Navarro. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal rights were provided to Licensee.

LPA Nguyen informed Licensee, Allison Navarro that this report dated January 28th, 2025, documents one of Type-A citation. Type-A citation which shall be posted for 30 consecutive days as there is an immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Nguyen informed the licensee to provide a copy of this licensing report dated January 28th, 2025, that documents any Type-A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 53-CC-20241219152812
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: NAVARRO, ALLISON
FACILITY NUMBER: 393601726
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/29/2025
Section Cited
CCR
102423(a)(2)
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102423(a)(2) Personal Rights
To receive safe, healthful, and comfortable accommodations, furnishings, and equipment....
This requirement was not met as evidenced by:
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Licensee agrees to submit a written statement acknowledging she understands and abides the children’s personal rights and how she will handle similar matters in the future
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Based on photos review, it was determined that C1 was left in clothing with fecal matter during time of pick up on 12/17/2024. This poses an immediate health, safety, or personal rights risk 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: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
12/19/2024 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20241219152812

FACILITY NAME:NAVARRO, ALLISONFACILITY NUMBER:
393601726
ADMINISTRATOR:NAVARRO, ALLISONFACILITY TYPE:
810
ADDRESS:2218 RIVER DRIVETELEPHONE:
(209) 941-0722
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY:14CENSUS: 3DATE:
01/28/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Navarro, AllisonTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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1. Child had unexplained marks on face.
INVESTIGATION FINDINGS:
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On January 28th, 2025, at 9:30 AM, Licensing Program Analysts (LPAs) David Nguyen and Lauren Scott met with licensee, Allison Navarro to deliver the findings of the complaint investigation regarding the above allegation. LPAs were granted entrance into daycare facility by licensee. There were three (3) children present at the time of the visit.

It was alleged that “Child had unexplained marks on face.” Throughout the investigation, LPA Nguyen conducted observations and interviewed with licensee, licensee’s assistant, parents, and reporting party.



Report continues on LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 53-CC-20241219152812
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: NAVARRO, ALLISON
FACILITY NUMBER: 393601726
VISIT DATE: 01/28/2025
NARRATIVE
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Based on interviews with licensee, licensee’s assistant, and parents, LPA Nguyen learned that no information disclosed that child had unexplained marks on face while attending the daycare.

Based on observations and the statements from licensee, licensee’s assistant, and parent, and the conflicting information from reporting party, LPA David Nguyen determined that the complaint allegation was found to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur at the facility.

Copy of this report was reviewed and provided to licensee. Notice of site visit is posted and shall remain posted for next 30 days.

An exit interview was conducted with licensee. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5