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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393622804
Report Date: 03/25/2026
Date Signed: 03/25/2026 11:08:37 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
02/09/2026 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20260209141354
FACILITY NAME:STOREY, MONICAFACILITY NUMBER:
393622804
ADMINISTRATOR:STOREY, MONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 227-8323
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:14CENSUS: 3DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Storey, MonicaTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Adult in the home yelled at the provider in front of day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) David Nguyen and Deborah Khashe met with licensee, Monica Storey, to deliver the findings of the complaint investigation regarding the above allegation. LPA Nguyen explained the purpose of the unannounced inspection. There were three (3) daycare children present at the time of the visit.

It was alleged that “Adult in the home yelled at the provider in front of day care children.” Throughout the investigation, LPA Nguyen conducted observations and interviewed licensee, licensee’s assistant, daycare parents, daycare children, and former daycare parents, and obtained pertinent information to assist with the complaint investigation. Based on interviews and record review, it was revealed that licensee’s assistant used hostile language and/or was verbally abusive towards the licensee in the presence of daycare children at the daycare facility. During today’s visit, LPA discussed with licensee some effective strategies for personal rights.

Report continues on LIC9099-C... (Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
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 8
Control Number 53-CC-20260209141354
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: STOREY, MONICA
FACILITY NUMBER: 393622804
VISIT DATE: 03/25/2026
NARRATIVE
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(Page 2)
Based on the interviews conducted and record reviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The following Title 22 Deficiency is being cited on the subsequent 9099-D page.

LPA David Nguyen informed licensee that this report dated 03/25/2026, documents one (1) type-A citation during the course of investigation. Type-A citation which shall be posted for 30 days consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA David Nguyen informed the licensee to provide a copy of this licensing report dated 03/25/2026 that documents any Type-A citation 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 or Receipt of Licensing Report (LIC9224) or other written statement, must be in the child’s file for verification.

LIC9224 and Appeal Rights were provided. An exit interview was conducted, and the report was reviewed with licensee, Monica Storey. 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.

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 8
Control Number 53-CC-20260209141354
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: STOREY, MONICA
FACILITY NUMBER: 393622804
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/26/2026
Section Cited
CCR
102423(a)(2)
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102423(a)(2)
(a) Each child receiving services from a family child care home shall have certain rights…. These rights include, but are not limited to, the following:
(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement was not met as evidenced by:
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LPA provided licensee with link for training video. Licensee agrees to watch Personal Rights Video and write a statement acknowledging she watched and understands the personal rights. Licensee also agrees to always provide a safe, healthful, and comfortable accommodations to the daycare children while they are in her care.
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Based on record review and interviews, it was revealed that licensee’s assistant yelled at the licensee in the presence of daycare children at the daycare facility. This poses an immediate health, safety, or personal rights risk to children in care.
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Licensee was given the link for video training:
https://ccld.childcarevideos.org/family-child-care-providers/
Licensee was also given the email for submission of the written statement:
David.Nguyen@dss.ca.gov
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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: 03/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 8
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
02/09/2026 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20260209141354

FACILITY NAME:STOREY, MONICAFACILITY NUMBER:
393622804
ADMINISTRATOR:STOREY, MONICAFACILITY TYPE:
810
ADDRESS:2054 ORVIS DRIVETELEPHONE:
(209) 227-8323
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:14CENSUS: DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Storey, MonicaTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Licensee did not report an unusual incident to licensing.

INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) David Nguyen and Deborah Khashe met with licensee, Monica Storey, to deliver the findings of the complaint investigation regarding the above allegation. LPA Nguyen explained the purpose of the unannounced inspection. There were three (3) daycare children present at the time of the visit.

It was alleged that “Licensee did not report an unusual incident to licensing.” Throughout the investigation, LPA Nguyen conducted observations and interviewed licensee, licensee’s assistant, daycare parent, and daycare children, and obtained pertinent information to assist with the complaint investigation. Based on interviews and record review, it was revealed that licensee, Monica Storey, did witness an altercation between the licensee’s assistant and a daycare parent on October 17th, 2025, at the daycare facility, and licensee never notified the Unusual Incident Report (UIR) occurring on October 17th, 2025, to the California Department of Social Services (CDSS) and the Community Care Licensing Division (CCLD) within 24 hours and never submitted the written UIR to CDSS and CCLD within 7 days.
Report continues on LIC9099-C... (Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
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 8
Control Number 53-CC-20260209141354
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: STOREY, MONICA
FACILITY NUMBER: 393622804
VISIT DATE: 03/25/2026
NARRATIVE
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(Page 2)
During today’s visit, LPA discussed with licensee, Monica Storey, the reporting requirements for the unusual incidents occurring in the Family Child Care Homes facility during the hours of operation that threatens the physical or emotional health or safety of any child to the California Department of Social Services (CDSS) and the Community Care Licensing Division (CCLD) within 24 hours and submit the written UIRs to CDSS and CCLD within 7 days to be in compliance.

Based on the interviews conducted and record reviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The following Title 22 Deficiency is being cited on the subsequent 9099-D page.

LPA David Nguyen informed licensee that this report dated 03/25/2026, documents one (1) type-B citation during the course of investigation.

Appeal Rights were provided. An exit interview was conducted, and the report was reviewed with licensee, Monica Storey. 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.

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 53-CC-20260209141354
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: STOREY, MONICA
FACILITY NUMBER: 393622804
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/24/2026
Section Cited
CCR
102416.2(b)(3)(C)
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102416.2(b)(3)(C)
(b) The licensee shall report to the Department any of the events… that occur during the operation of the family child care home.
(3) Health and Safety Code Section 1597.467(b)(1) provides in part: “A report shall be made to the Department…following the occurrence during the operation of a family day care home of any of the following events:

(C) Any unusual incident…that threatens the physical or emotional health or safety of any child.”

This requirement was not met as evidenced by:
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LPA provided licensee LIC624B for future events and the link for training video. Licensee agrees to watch Reporting Requirement Video and write a statement acknowledging she watched and understands the reporting requirements. Licensee also agrees to report any future UIRs to CDSS/CCLD within 24 hours and submit the written UIRs to CDSS/CCLD within 7 days.
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Based on interview, the licensee did not comply with the section cited above by not reporting the unusual incident that occurred on 10/17/2025 to the Department within 24 hours and submit the physical UIR within 7 days.
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Licensee was given the link for video training:
https://ccld.childcarevideos.org/family-child-care-providers/

Licensee was also given the general email for UIR submitting: CCLPSACS@DDS.CA.GOV

Licensee was also given the email for submission of the written statement:
David.Nguyen@dss.ca.gov
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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: 03/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 8
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
02/09/2026 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20260209141354

FACILITY NAME:STOREY, MONICAFACILITY NUMBER:
393622804
ADMINISTRATOR:STOREY, MONICAFACILITY TYPE:
810
ADDRESS:2054 ORVIS DRIVETELEPHONE:
(209) 227-8323
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:14CENSUS: DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Storey, MonicaTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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1. Adult in the home threatened a parent in front of day care children.
2. Licensee did not ensure children’s confidential information was kept secure.


INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) David Nguyen and Deborah Khashe met with licensee, Monica Storey to deliver the findings of the complaint investigation regarding the above allegations. LPA Nguyen explained the purpose of the unannounced inspection. There were three (3) daycare children present at the time of the visit.

It was alleged that “Adult in the home threatened a parent in front of day care children.” and “Licensee did not ensure children’s confidential information was kept secure.” Throughout the investigation, LPA Nguyen conducted observations and interviewed licensee, licensee’s assistant, daycare parents, and former daycare parents, and obtained pertinent information to assist with the complaint investigation.

Report continues on LIC9099-C... (Page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 7 of 8
Control Number 53-CC-20260209141354
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: STOREY, MONICA
FACILITY NUMBER: 393622804
VISIT DATE: 03/25/2026
NARRATIVE
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(Page 2)
Based on interviews with licensee, licensee’s assistant, and daycare parents, no information disclosed that the licensee’s assistant used hostile language or was verbally aggressive or physically aggressive towards a daycare parent in the presence of the daycare children at the daycare facility. LPA Nguyen was unable to determine if the adult in the home used hostile language or was verbally aggressive or physically aggressive towards the parent in the presence of daycare children. In addition, information obtained from the interviews revealed that children’s records are properly retained at the daycare facility. LPA Nguyen learned that there was not enough evidence to prove if licensee did not ensure children’s confidential information was kept secure at the daycare facility.

Based on conflicting information obtained from the interviews, LPA Nguyen is unable to determine whether the adult in the home threatened a parent in front of daycare children, and licensee did not ensure children’s confidential information was kept secure. Therefore, these complaint allegations were found to be UNSUBSTANTIATED, meaning although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur at the facility.



An exit interview was conducted in which appeal rights were provided and a copy of this report was provided and reviewed with the licensee, Monica Storey. 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: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 8 of 8