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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313623396
Report Date: 03/18/2021
Date Signed: 03/18/2021 02:12:09 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/29/2021 and conducted by Evaluator Amanda Blesi
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210129114839
FACILITY NAME:GUIDING STARS ACADEMYFACILITY NUMBER:
313623396
ADMINISTRATOR:SHEPARD, MALLORYFACILITY TYPE:
850
ADDRESS:595 A STREETTELEPHONE:
(916) 645-1099
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:30CENSUS: 25DATE:
03/18/2021
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Mallory ShepardTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
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9
Personal rights -Staff handles day care children in a rough manner
INVESTIGATION FINDINGS:
1
2
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13
On 3/18/21 at approximately 1:45pm due to the COVID-19 pandemic, Licensing Program Analyst (LPA), Amanda Blesi, conducted a tele-inspection via Facetime and met with Director, Mallory Shepard, to deliver findings and conclude the complaint investigation of the above allegation. Census was 25 children supervised by 3 staff.

The complainant alleged that a staff member handled day care children in a rough manner. During the investigation, LPA conducted interviews with both staff and parents. Based on the interviews, the preponderance of evidence standard was not met; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted and Notice of Site Visit was provided to be posted for 30 days. Facility evaluation report was emailed to Director and an email verification of receipt of report will be used in lieu of a signature on this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
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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