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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394501211
Report Date: 11/18/2025
Date Signed: 11/19/2025 09:18:06 AM

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
09/16/2025 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20250916130553
FACILITY NAME:PETRY, QUIANA MICHELLEFACILITY NUMBER:
394501211
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Quiana M PetryTIME COMPLETED:
03:44 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-Adult in home hit child in care
Personal Rights-Providers communicate inappropriately to children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/18/25, Licensing Program Analyst (LPA) Elvira Sierra conducted a complaint investigation and met with Licensee,Quiana M Petry to deliver findings on the above allegations. Upon arrival, present in the home was Licensee caring for four children.Licensee's assistant arrived later during the inspection with two more childen.
It was alleged that an adult in the home hit a child in care and provider communicate inappropriately to children in care. Throughout the investigation LPA conducted interviews with Reporting Party (RP), staff, children, and parents. LPA also observed the care and supervision of children. Day care children who were interviewed did not disclose any physical abuse or inappropriate interaction by Licensee or staff, except child # 1 who was not able to give a consistent description or identified who did the hitting. License denied the allegations and stated that discipline policy is time out which consists of sitting the child in a chair for a few minutes and positive enforcement. Based on the information obtained during interviews there is not a preponderance of evidence to prove the allegations did or did not occur; therefore, the allegations are UNSUBSTANTIATED.
An exit interview was conducted in which the report was reviewed and discussed with Licensee, Quiana M Petry. Appeals of rights were provided to Licensee and a Notice of site visit was posted and shall remain posted for 30 days.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
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)
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