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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622983
Report Date: 12/19/2023
Date Signed: 12/19/2023 04:02:55 PM

Unsubstantiated


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
09/26/2023 and conducted by Evaluator Kyrsten Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230926105100
FACILITY NAME:SINGLE MOM STRONG - EMPOWERME PRESCHOOL CHILDCAREFACILITY NUMBER:
343622983
ADMINISTRATOR:KINZ, KIMBERLYFACILITY TYPE:
850
ADDRESS:7525 AUBURN BLVD, SUITE 5TELEPHONE:
(916) 735-5350
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:39CENSUS: 11DATE:
12/19/2023
UNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Tara TaylorTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff handled daycare child in a rough manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On December 19, 2023, Licensing Program Analysts (LPAs) Kyrsten Williams and Jennifer Velasco conducted a follow up complaint investigation inspection at the above facility and met with Licensee Tara Taylor. LPAs observed 11 children being supervised by 1 staff member.

It was alleged facility staff handled daycare child in a rough manner. During the investigation, LPAs conducted observations, interviews, and completed a record review. After observations, interviews, and record review, LPAs did not learn of any evidence of staff members handling a child in a rough manner. Although the allegation above 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 allegation is unsubstantiated.

Exit interview conducted and report reviewed with licensee, Tara Taylor. Appeal rights provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
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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