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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393621804
Report Date: 12/12/2023
Date Signed: 12/12/2023 12:22:02 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
10/05/2023 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20231005123615
FACILITY NAME:RAMESH, HEMA/RAMASAMY,RAMESHFACILITY NUMBER:
393621804
ADMINISTRATOR:RAMESH,HEMA/RAMASAMY,RAMESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 685-2300
CITY:MOUNTAIN HOUSESTATE: CAZIP CODE:
95391
CAPACITY:14CENSUS: 7DATE:
12/12/2023
UNANNOUNCEDTIME BEGAN:
11:36 AM
MET WITH:Madhuri MediboyanaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Provider uses inappropriate discipline methods
INVESTIGATION FINDINGS:
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On December 12, 2023, Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Facility Representative, Madhuri Mediboyana. LPA observed seven children supervised by two staff.

An investigation was conducted regarding the allegation listed above. It was alleged that the Licensee uses inappropriate discipline methods. The facility was toured, and interviews were conducted with the Reporting Party, Licensee, facility staff, daycare children and parents of children in care. The Licensee denied the allegation. Licensee reported that the discipline methods used in her program are appropriate. Licensee disclosed that she speaks to the children about their actions and uses verbal redirection if necessary and allows children to have time away from the group to calm themselves or meditate by the aquarium. Interviews with parents and children did not corroborate concerns regarding inappropriate care or discipline used in the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023
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-20231005123615
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: RAMESH, HEMA/RAMASAMY,RAMESH
FACILITY NUMBER: 393621804
VISIT DATE: 12/12/2023
NARRATIVE
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Based on the information received, the allegation is determined to be unsubstantiated. 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.

Exit interview conducted at which time the report was reviewed with the Licensee via telephone and the Facility Representative, Madhuri Mediboyana ( in person ). A Notice of Site Visit was posted by LPA Williams and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2