397005971-8-3-2023-23-CR-RROZ-CUDTVK-20230804150400

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 397005971
Report Date: 08/03/2023
Date Signed: 08/03/2023 04:32:56 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CRP 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
06/05/2023 and conducted by Evaluator Stephanie Lor

COMPLAINT CONTROL NUMBER: 23-CR-20230605155735

FACILITY NAME:	KAIR IN HOME SOCIAL SERVICES, INC		FACILITY NUMBER:	397005971
ADMINISTRATOR:	GURMEET RAJSINGH		FACILITY TYPE:	430
ADDRESS:	2105 W MARCH LANE, STE 2		TELEPHONE:	(209) 954-0614
CITY:	STOCKTON	STATE:	ZIP CODE:	95207
CAPACITY:	29	CENSUS: 0	DATE:	08/03/2023
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Gurmeet Singh, Administrator		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Resource parent withheld food from children
Resource parent yelled at children

INVESTIGATION FINDINGS:

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On 8/3/23, Licensing Program Analyst (LPA) Stephanie Lor made an unannounced visit to the above agency to deliver the complaint investigation findings. LPA Lor met with the Administrator.

LPA Lor conducted the 10-day inspection of the facility and the resource home on 6/15/23. No deficiencies were cited at that time. LPA obtained copies of intake, progress reports, needs and service plan, health and education passport, incident report, training certificates, facility sketch, background clearance, and safe written report. LPA conducted 9 confidential interviews and 1 attempt between June 2023 -July 2023.

On the allegation of resource parent withheld food from the children, there were inconsistency from interviews conducted. Foster children reported that during the day of the incident, food was hidden on a tablecloth, which resulted in resource parent making an inappropriate comment to the children. (see next page)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rosa Rodriguez	TELEPHONE: (916) 662-1458
LICENSING EVALUATOR NAME: Stephanie Lor	TELEPHONE: 530-513-4183
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

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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Control Number 23-CR-20230605155735

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CRP RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: KAIR IN HOME SOCIAL SERVICES, INC	FACILITY NUMBER: 397005971
	VISIT DATE: 08/03/2023

NARRATIVE

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3/3 children disclosed that they were fed 5 times a day, but were told that they would not be fed if they didn’t reveal the truth. Adult in the home reported that resource parent also runs a daycare and follows a day care food program. Adult in the home reported that all children in the home are always fed. In addition, resource parents denied the allegations and reported that they feed the children everyday.

On the allegation of resource parent yelled at the children, there were inconsistencies from the interviews conducted. Resource parent disclosed that they have loud voices and that it could be taken as yelling. Resource parent denied yelling at the children. Adult in the home reported they have not witnessed the incident in the home. S2 indicated that the family report incidents to S2 and does not have any concerns for the family.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiencies were cited.

An exit interview was conducted with the Administrator. A copy of this report and the Appeal Rights were provided to the agency.

SUPERVISOR'S NAME: Rosa Rodriguez	TELEPHONE: (916) 662-1458
LICENSING EVALUATOR NAME: Stephanie Lor	TELEPHONE: 530-513-4183
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

LIC9099 (FAS) - (06/04)

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