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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313620290
Report Date: 09/11/2025
Date Signed: 09/11/2025 04:14:55 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO 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
07/03/2025 and conducted by Evaluator Matthew Gallo
COMPLAINT CONTROL NUMBER: 03-CC-20250703143326
FACILITY NAME:O'BRIEN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
313620290
ADMINISTRATOR:KOENIG, DANOLDFACILITY TYPE:
830
ADDRESS:4035 GRASS VALLEY HWY, STE KTELEPHONE:
(530) 885-0530
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY:18CENSUS: 4DATE:
09/11/2025
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Patricia PerezTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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9
Children's bottles were not labeled
Staff are not disinfecting the changing table after changing diapers
Staff did not supervise napping children
Staff did not check on sleeping infants every 15 minutes checks nor document the checks
Facility commingles infant and school-age children
INVESTIGATION FINDINGS:
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13
On 9/11/2025, Licensing Program Analysts (LPAs) Matthew Gallo and Lea Habtom met with facility representative Trisha Perez to deliver findings to a complaint investigation into the above allegations. Upon arrival, LPAs observed a census of 4 infants supervised by 1 staff.

Throughout the course of the investigation, LPA conducted observations, interviews, and record review related to the following allegations:

(1) Children's bottles were not labeled
It was alleged that children’s bottles were not labeled. Through interview with staff, LPA determined that an infant bottle of milk that was not labeled by name or date and could not be identified by staff was left in the infant room refrigerator. On a 9/11/2025 visit, LPA additionally observed that, while the bottles were labeled by name, they were not labeled with current date as required by regulations. The preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED. Report continues on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
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 9
Control Number 03-CC-20250703143326
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: O'BRIEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 313620290
VISIT DATE: 09/11/2025
NARRATIVE
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(2) Staff are not disinfecting the changing table after changing diapers

It was alleged that the staff were not disinfecting the changing table after each diaper change. While at the facility, LPA observed that the facility covers their changing pads with cloth, upon which disposable sheets are further used. Through staff interview, LPA determined that the staff's reported procedure after changing a diaper is to throw the disposable sheet away, while sanitizing the cloth cover to the pad only once a week. The preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED.

(3) Staff did not supervise napping children

It was alleged that the staff did not supervise napping children. During a visit on 8/1/2025, LPA observed 5 sleeping infants in the infant classroom while the staff member responsible for supervision was in the toddler classroom, separated by a closed glass sliding door. As the staff member did not have full sight and sound observation of the sleeping infants, the preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED.

(4) Staff did not check on sleeping infants every 15 minutes checks nor document the checks

It was alleged that the staff did not check on sleeping infants every 15 minutes nor document the checks. During an initial visit on 7/9/2025, LPA observed that the infant sleep checks were not documented, and staff interview confirmed that there had been a recent lapse in documenting the checks. The preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED.

(5) Facility commingles infant and school-age children

It was alleged that the facility commingles infants and older children in the infant room. Based on interview with staff, LPA determined that a 3 year old child has at times spent up to 15 minutes in the infant room being supervised among the infants. The preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED.

Title 22 deficiencies are cited on the accompanying 9099-D

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO 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
07/03/2025 and conducted by Evaluator Matthew Gallo
COMPLAINT CONTROL NUMBER: 03-CC-20250703143326

FACILITY NAME:O'BRIEN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
313620290
ADMINISTRATOR:KOENIG, DANOLDFACILITY TYPE:
830
ADDRESS:4035 GRASS VALLEY HWY, STE KTELEPHONE:
(530) 885-0530
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY:18CENSUS: 4DATE:
09/11/2025
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Patricia PerezTIME COMPLETED:
04:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not provide adequate food service
Staff did not ensure children were not drinking other children’s water
Facility is out of ratio
Infant care accepted sick children into care
Staff do not wash their hands after feeding
Staff do not ensure each infant has his/her bedding
INVESTIGATION FINDINGS:
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On 9/11/2025, Licensing Program Analysts (LPAs) Matthew Gallo and Lea Habtom met with facility representative Patricia Perez to deliver findings to a complaint investigation into the above allegations. Upon arrival, LPAs observed a census of 4 infants supervised by 1 staff.

Throughout the course of the investigation, LPA conducted observations, interviews, and record review related to the following allegations:

(1) It was alleged that staff do not provide adequate food service in the case of staff not intervening when children were eating other children’s food off the ground. Staff interviews did not produce further evidence to support the allegation, and LPA observed the floor to be clean during visits. The preponderance of evidence standard is not met; therefore the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occured or is valid, there is not a preponderance of evidence to prove it. Report Continues on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 9
Control Number 03-CC-20250703143326
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: O'BRIEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 313620290
VISIT DATE: 09/11/2025
NARRATIVE
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(2) Staff did not ensure children were not drinking other children’s water

It was alleged that staff did not ensure children were not drinking other children’s water. During staff interviews, a staff member stated they have observed a child reach out and grab another child’s water and bring it to their mouth, but that they took immediate action to stop the behavior. LPA did not observe the behavior during visits, and saw that the water bottles in the toddler room are currently labeled. Based on available information, The preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it.

(3) Facility is operating out of ratio.

It was alleged that the facility was operating out of ratio. LPA observations and interviews with staff did not produce further evidence to support the allegation. Based on the information collected, the preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it.

(4) Infant care accepted sick children into care

It was alleged that staff was not screening for sick children and allowing them into care. Staff interviews demonstrated a knowledge of policy regarding the screening of children presenting symptoms of illness. Parent interviews did not produce further evidence that their sick children were accepted into care, and LPA did not observe sick children present during visits. Based on the information collected, the preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it.

(5) Staff do not wash their hands after feeding

It was alleged that staff were not washing their hands after feeding. Staff interviews demonstrated a knowledge of the need to wash hands after feeding, and LPA did not observe improper food handling during visits. Based on the information collected, the preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 9
Control Number 03-CC-20250703143326
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: O'BRIEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 313620290
VISIT DATE: 09/11/2025
NARRATIVE
1
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(6) Staff do not ensure each infant has his/her bedding

It was alleged that staff were not ensuring that each infant had their own bedding. LPA observed that the cribs were formally labeled in the middle of LPA's first visit to open the complaint, although staff interview did not produce further evidence that the staff was not ensuring that the proper bedding was being provided to the proper child. Based on the information collected, the preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it.

Exit interview conducted and report was reviewed with facility representative Patricia Perez. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 9
Control Number 03-CC-20250703143326
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: O'BRIEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 313620290
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/12/2025
Section Cited
CCR
101428(d)(7)
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101428(d)(7)The changing table and changing pads shall be disinfected after each use even when disposal covers are used.

This requirement was not met as evidenced by:
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Facility representative stated they will replace the cloth cover with a brand new vinyl pad that can be disinfected immeidately after each use. Facility representative will provide LPA Gallo with a picture of the new pad.
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Based on observation and interview, the licensee did not comply with section cited above by not disinfecting the changing pad after each use when disposal covers are being used. This poses an immediate health, safety, or personal rights risk to persons in care.
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Type A
09/12/2025
Section Cited
CCR
101429(a)(2)
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101429(a)(2) Sleeping infant(s) shall be directly observed by sight and sound at all times.

This requirement was not met as evidenced by:
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Facility representative stated that they will provide training to staff and provide attendance sheet to LPA Gallo by the POC due date. Attendance sheet can be sent by email to matthew.gallo@dss.ca.gov or by text at 916-208-3734
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Based on observation, the licensee did not comply with the section cited above due to the sole staff member supervising napping infants on 8/1/2025 not being in the room with the sleeping infants but divided by a sliding glass door which did not provide direct observation by sound. This poses an immediate health, safety, or personal rights risk to persons 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: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 9
Control Number 03-CC-20250703143326
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: O'BRIEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 313620290
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/26/2025
Section Cited
CCR
101427(j)
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101427(j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date.

This requirement is not met as evidenced by:
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Facility representative stated that they will provide training to staff and provide attendance sheet to LPA Gallo by the POC due date. Attendance sheet can be sent by email to matthew.gallo@dss.ca.gov or by text at 916-208-3734
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Based on observation and interview, the licensee did not comply with the section cited above in the case of a bottle of milk left in the infant room fridge that was not labeled by name or date and could not be identified by staff. This poses a potential health, safety, or personal rights risk to persons in care.
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Type B
09/26/2025
Section Cited
CCR
101429(a)(2)(C)
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101429(a)(2)(C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: (1) Date (2) Infant’s name (3) Time of each 15-minute check.
This requirement was not met as evidenced by:
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Facility representative stated that they will provide training to staff and provide attendance sheet to LPA Gallo by the POC due date. Attendance sheet can be sent by email to matthew.gallo@dss.ca.gov or by text at 916-208-3734
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Based on interview and record review, the licensee did not comply with the section cited above due to not documenting 15 minute checks of sleeping infants. This poses a potential health, safety, or personal rights risk to persons 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: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC9099 (FAS) - (06/04)
Page: 8 of 9
Control Number 03-CC-20250703143326
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: O'BRIEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 313620290
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/12/2025
Section Cited
CCR
101161(a)
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101161(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement was not met as evidenced by:
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Facility representative stated acknowledgement that age components must always remain physically separate. LPA will conduct a return visit to ensure compliance.
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Based on interview, the licensee did not comply with the section cited above due to a 3 year old child spending up to 15 minutes at a time in the infant room, which poses an immediate health, safety, or personal rights risk to persons 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: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC9099 (FAS) - (06/04)
Page: 7 of 9
Control Number 03-CC-20250703143326
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: O'BRIEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 313620290
VISIT DATE: 09/11/2025
NARRATIVE
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Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided.

Exit interview conducted and report was reviewed with facility representative, Patricia Perez. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC9099 (FAS) - (06/04)
Page: 9 of 9