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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393620834
Report Date: 11/18/2025
Date Signed: 11/18/2025 12:03:40 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
10/21/2025 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20251021105510
FACILITY NAME:RAI, SUSHMA KUMARIFACILITY NUMBER:
393620834
ADMINISTRATOR:RAI, SUSHMA KUMARIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 666-3021
CITY:MOUNTAIN HOUSESTATE: CAZIP CODE:
95391
CAPACITY:14CENSUS: 4DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
10:58 AM
MET WITH:Sushma Kumari RaiTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee is operating over ratio
Licensee does not allow parents into the home
INVESTIGATION FINDINGS:
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On November 18, 2025, Licensing Program Analyst (LPA) Stacey Williams met with Licensee Shushma Kumari Rai for the purpose of delivering complaint findings. LPA observed four children in the home being supervised by Licensee. Criminal record clearances were verified.

An investigation was conducted regarding the above allegations. The home was toured, and interviews were conducted with the Reporting Party, Licensee, Licensee’s Assistant and parents of children in care. It was alleged that Licensee is operating over her licensed ratio as well as not allowing parents inside of the home. Licensee denied the allegations. Maximum capacity for the licensee’s program is fourteen children with an Assistant present. Licensee employs one Assistant and currently has seven children enrolled. There was not a preponderance of evidence indicating that Licensee was over capacity for her license.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
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 2
Control Number 53-CC-20251021105510
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: RAI, SUSHMA KUMARI
FACILITY NUMBER: 393620834
VISIT DATE: 11/18/2025
NARRATIVE
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Interviews conducted revealed that daycare children are dropped off and picked up at either the entry way or front door of the Licensee’s home. Consistent statements received revealed that parents have not asked Licensee to come inside the home after enrollment, nor was there information received indicating that Licensee denied entry into the home to any childcare family.

The allegations are determined to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview conducted at which time the report was reviewed with Licensee, Sushma Kumari Rai. A Notice of Site Visit was posted by LPA Williams and must remain posted for 30 days.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2