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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313625165
Report Date: 06/06/2024
Date Signed: 06/06/2024 02:12:59 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
04/12/2024 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240412124744
FACILITY NAME:LICATA, PAULFACILITY NUMBER:
313625165
ADMINISTRATOR:LICATA, PAULFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 737-9034
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:14CENSUS: 6DATE:
06/06/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Paul LicataTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Uncleared adult has access to day care children in care.
INVESTIGATION FINDINGS:
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On Thursday, June 6, 2024, Licensing Program Analysts (LPA) Lea Habtom met with licensee, Paul Licata, to deliver the findings for a complaint investigation. Upon arrival, LPA observed 6 preschool children being supervised by the licensee. No other adults were present in the home at the time of the inspection.

The complaint alleges an uncleared adult has access to day care children. Children and parent interviews revealed that the uncleared adult assisted with caring for the children on multiple occasions. Licensee and reporting party interviews revealed that the uncleared adult assisted with providing care for the children when the licensee’s were out of town with the primary assistant. LPAs observation at the time of opening the complaint was that the uncleared adult was assisting in providing care to the children. Interviews with a third party and staff disclosed that this uncleared adult was paid for caring for the children.

Report continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
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-20240412124744
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: LICATA, PAUL
FACILITY NUMBER: 313625165
VISIT DATE: 06/06/2024
NARRATIVE
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Based on the information collected, LPA Habtom concluded the an uncleared adult had access to day care children therefore the department has found that the allegation to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met. Title 22 deficiencies were cited on today's inspection on 9099-D. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted with licensee.

Title 22 Deficiency has been cited on the attached LIC 9009-D. LPA Lea Habtom informed licensee Paul Licata that this report dated June 6, 2024 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Lea Habtom informed the licensee Paul Licata to provide a copy of this licensing report dated June 6, 2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal Rights given. Notice of site visit was provided to be posted for 30 days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20240412124744
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: LICATA, PAUL
FACILITY NUMBER: 313625165
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/05/2024
Section Cited
CCR
102370(d)(1)
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102370 Criminal Record Clearance:
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering(1) Obtain a California clearance or a criminal in a licensed facility:
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The individual in question is cleared and associated. The deficiency has been cleared during today's inspection.
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record exemption as required by the Department this requirement was not met as evidenced an adult who was paid to provide assistance to children with no fingerprint clearance which posses an immediate 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: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
LIC9099 (FAS) - (06/04)
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