554500468-4-20-2023-53-CC-CHUR-CS7MES-20230526093312

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 554500468
Report Date: 04/20/2023
Date Signed: 04/20/2023 04:15:17 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/03/2023 and conducted by Evaluator Tobias Lake

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20230303154500

FACILITY NAME:	RAGER, NICOLE		FACILITY NUMBER:	554500468
ADMINISTRATOR:	NICOLE RAGER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 559-1334
CITY:	SONORA	STATE: CA	ZIP CODE:	95370
CAPACITY:	14	CENSUS: 10	DATE:	04/20/2023
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Licensee, Nicole Rager		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Licensee does not provide adequate supervision to children in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tobias Lake met with Licensee, Nicole Rager, to deliver the findings of the complaint investigation regarding the above allegations. During the course of the investigation LPA Lake conducted interviews, reviewed records, and obtained information pertinent to the allegations.

It was alleged that the Licensee does not provide adequate supervision to children in care in the front play area. After reviewing timesheets for staff, LPA determined that while a staff may have not been in the front play area, the front of the home allows for a direct line of sight into the front play area. Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding is UNSUBSTANTIATED. Exit interview was conducted. 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.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Tobias Lake	TELEPHONE: 916-224-9388
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023

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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