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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394501559
Report Date: 01/23/2026
Date Signed: 01/23/2026 04:18:25 PM

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
01/20/2026 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20260120113210
FACILITY NAME:SMITH, AMBERFACILITY NUMBER:
394501559
ADMINISTRATOR:SMITH, AMBERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(931) 933-0176
CITY:TRACYSTATE: CAZIP CODE:
95377
CAPACITY:14CENSUS: 8DATE:
01/23/2026
UNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Amber SmithTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Lack of Supervision-Licensee does not provide adequate care and supervision to the daycare children
INVESTIGATION FINDINGS:
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On January 23, 2026, Licensing Program Analyst (LPA) Elvira Sierra conducted an unannounced complaint inspection to investigate the above allegation and met with Licensee, Amber Smith.Pesent in the facility were 8 children (including Licensee's own daughter).

During today’s inspection, LPA observed two children's playing in the unfenced front yard alone. Licensee stated that one child is her neighbors and one child is a daycare child. Licensee was inside the home with the rest of the daycare children. Based on ibservations during today's inspection the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Report continues on subsuquent page 809C--
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
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 3
Control Number 53-CC-20260120113210
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: SMITH, AMBER
FACILITY NUMBER: 394501559
VISIT DATE: 01/23/2026
NARRATIVE
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LPA Sierra informed licensee, that this report dated 01/23/26 document one Type A citation. Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Sierra informed the licensee to provide a copy of this licensing report dated 01/23/26 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 of Receipt of Licensing Report (LIC 9224 ), or other written statement, must be placed in the child's file for verification.

Deficiency cited on siubsuqunet page LIC 809D. An exit Interview was conducted in which the report was reviewed and discussed with Licensee, amber Smith. Printed copy of the report was provided and a notice of site visit was posted.




SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20260120113210
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: SMITH, AMBER
FACILITY NUMBER: 394501559
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/24/2026
Section Cited
CCR
102417(g)(6)
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102417 Operation of a Family Child Care Home (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:(6) Outdoor play areas shall be either fenced, or outdoor play shall be supervised by the licensee or caregiver.
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POC: LIcensee asked child #1 to come inside the home immediately after LPA expained the regulation. LPA also received a written statement from the Licensee as a plan of correction.
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This requirements was not met as evidence by: Upon arrival to the facility LPA Sierra observed two children (one of them was a daycare child) alone playing in the unfenced front yard. This is a requirements that if not corrected poses an immediate risk to the chidlren 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: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3