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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483008410
Report Date: 12/30/2025
Date Signed: 12/30/2025 12:39:34 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/23/2025 and conducted by Evaluator Jessica Gaumann
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20251223104141
FACILITY NAME:KHAKHA, SARPREET FCCHFACILITY NUMBER:
483008410
ADMINISTRATOR:KHAKHA, SARPREETFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 720-5491
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:14CENSUS: 10DATE:
12/30/2025
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Facility Representative, Parvinder Khakha and Licensee, Sarpreet KhakhaTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Licensee is not present for a significant amount of time.
INVESTIGATION FINDINGS:
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An unannounced complaint investigation visit was made to the facility by Licensing Program Analyst (LPA), Jessica Gaumann and Licensing Program Manager (LPM), Melchisedeck Augustin, who met with facility representative (S1) Parvinder Khakha to investigate a complaint allegation filed against the facility. LPA initiated the investigation by discussing the purpose of the visit, made observations, conducted interviews with two staff (S1-S2) and children (C1-C3), and obtained a copy of the facility roster of the children currently in care. It is alleged that the licensee is not present for a signifcant amount of time. The report noted that in the last six months, two facility assistants managed the day to day operation of the facility without the presence of the licensee (LS) Sarpreet Khakha.

Upon arrival, LS was not present at the facility from 9:00am-10:30am and LS arrived at 10:39am. It was observed that during the licensee's temporary absence from the home, S1 and S2 provided care and supervision for the day care children. LPA counted ten children in care. The allegation was substantiated when LS, S1 and S2 confirmed that LS was not present at the facility at least 80% of the time on day to day basis.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jessica Gaumann
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
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 01-CC-20251223104141
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: KHAKHA, SARPREET FCCH
FACILITY NUMBER: 483008410
VISIT DATE: 12/30/2025
NARRATIVE
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According to LS's statement his roles and responsibilities consisted of dropping off food and supplies and completing administrative duties, he confirmed he lives at his other property more than 50% of the time. LS stated he moved out of the home in 2022 and he resumes his administrative duties off site. On average, LS visited the facility three times per week, times varying from three to four hours and some days it is more. LS acknowledged he was required to reside in the home as well as be present at least 80% of the time, and LS's temporary absence was not to exceed more than 20%. LS agreed to take some positive steps to bring the facility into compliance by moving back into the home and he intends to maintain a presence of at least 80% of the time, to ensure complaint with California Code of Regulations (CCR) 102417(a), which indicates that the licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

According to S1 and S2's statements, LS purchased another property, LS did not reside at the facility, and although LS did not reside in the home; LS visited the home between 2-3 times per week. Staff validated the facility's operating hours were Mon through Fri, 7:00am-5:30pm, and S1 and S2 managed the day to day operation at the facility without LS being present at least 80% of the time. Staff further added that during LS's visits to the home, LS brought groceries/food items and handled the administrative duties of the facility. Based on observations as well as statements provided by LS, S1 and S2; there is enough evidence to corroborate that LS did not comply with the regulations mentioned above.

Based on interviews with licensee and staff, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with the licensee, Sarpreet Khakha. A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided.
SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jessica Gaumann
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20251223104141
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: KHAKHA, SARPREET FCCH
FACILITY NUMBER: 483008410
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/05/2026
Section Cited
CCR
102417(a)
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The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the
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LS stated he will move back into the facility and will be here 80% of the time. LS will provide a written statement detailing the positive steps he intends to take to insure the facility complies with CCR 102417(a) and POC will be submitted to the department by 01/05/25 via email (jessica.gaumann@dss.ca.gov).
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hours that the facility is providing care per day.

This requirment was not by evidenced by: based on interviews with LS, S1 and S2 which confirmed LS was absent more than 80% of the time during facilites operating hours. This poses a potential health, safety and/or personal rights risk to the children in care.
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LPA provided a copy of CCR 102417(a) and obtained LS's signature on the regulation to be filed at the department.
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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: Melinda Mohr
LICENSING EVALUATOR NAME: Jessica Gaumann
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3