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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313620290
Report Date: 11/05/2025
Date Signed: 11/05/2025 03:06:08 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
10/27/2025 and conducted by Evaluator Lea Habtom
COMPLAINT CONTROL NUMBER: 03-CC-20251027130314
FACILITY NAME:O'BRIEN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
313620290
ADMINISTRATOR:PEREZ, PATRICIAFACILITY TYPE:
830
ADDRESS:4035 GRASS VALLEY HWY, STE KTELEPHONE:
(530) 885-0530
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY:18CENSUS: 5DATE:
11/05/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Patricia PerezTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff did not report the facility outbreak to the appropriate parties
INVESTIGATION FINDINGS:
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On Wednesday, November 5, 2025, Licensing Program Analyst (LPA) Lea Habtom arrived at the facility to open and close a complaint. There were 5 infants being supervised by 2 staff. LPA met with director, Patricia Perez, to open and close the complaint. All staff present during today’s inspection have fingerprint clearances and associations.

During the investigation, LPA Habtom toured the facility, conducted observation, and interviewed those pertinent to the investigation. It was alleged that the facility did not report the outbreak to appropriate parties. Based on the interview with the director, it was disclosed that parents were notified by text message of a stomach bug or norovirus that children were experiencing. There were 3 confirmed cases with displayed symptoms. The director was unaware that the incident should have been reported to Department of Public Health and Licensing. Based on the corroborating information collected LPA Lea Habtom has found that the allegation that staff did not report the facility outbreak to the appropriate parties to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
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 03-CC-20251027130314
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: 11/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
12/05/2025
Section Cited
CCR
101212(D)(1)(E)
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101212(d)(1)(E) Reporting Requirements: In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
(1) Events reported shall include the following: (E) Epidemic outbreaks.
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Director agreed to review the regulation that LPA L. Habtom printed and supplied to the director. The director agreed to provide a staff training for reporting requirements. The director will email LPA L. Habtom the sign in sheet for the meeting and the agenda to clear the deficiency by December 5, 2025.
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This requirement was not met as evidenced by a stomach bug or the norovirus with 3 confirmed cases that was not reported to the Department of Public Health and Licensing which is a potential health and safety risk to the children 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: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
10/27/2025 and conducted by Evaluator Lea Habtom
COMPLAINT CONTROL NUMBER: 03-CC-20251027130314

FACILITY NAME:O'BRIEN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
313620290
ADMINISTRATOR:PEREZ, PATRICIAFACILITY TYPE:
830
ADDRESS:4035 GRASS VALLEY HWY, STE KTELEPHONE:
(530) 885-0530
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY:18CENSUS: 5DATE:
11/05/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Patricia PerezTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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2
3
4
5
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9
Staff did not take precautionary measures to prevent the spread of illness at the facility
INVESTIGATION FINDINGS:
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Staff did not take precautionary measures to prevent the spread of illness at the facility

During the investigation, LPA Lea Habtom conducted interviews, observation and interviewed those pertinent to the investigation. It was alleged that staff did not take precautionary measures to prevent the spread of illness at the facility. The director communicated with parents via text regarding symptoms of the stomach virus or norovirus and advised them to keep children home if they exhibited any symptoms. Interviews with staff revealed that one child was sent home early after symptoms appeared, which was confirmed by the sign-in/out sheet. Parents of the remaining symptomatic children kept them home and informed staff of their absences. Staff interviews indicated that items and surfaces were regularly cleaned and disinfected. During today’s inspection, LPA observed staff wiping down tables and removing toys that children had placed in their mouths for cleaning and disinfection. The facility’s illness policy, requiring children to be symptom-free for 24 hours before returning, was enforced. LPA Habtom was unable to gather enough information to validate or invalidate the allegation staff did not take precautionary measures to prevent the illness at the facility therefore the outcome is UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
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 3