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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623100
Report Date: 09/12/2024
Date Signed: 09/12/2024 11:17:41 AM

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
06/20/2024 and conducted by Evaluator Loraine Perez
COMPLAINT CONTROL NUMBER: 03-CC-20240620144204

FACILITY NAME:EKEKWE, ELSHEBIAFACILITY NUMBER:
343623100
ADMINISTRATOR:EKEKWE, ELSHEBIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 517-8410
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:14CENSUS: 6DATE:
09/12/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Elshebia EkekweTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Uncleared adults providing care to daycare children

Staff did not properly supervise daycare child, resulting in a child sustaining an injury
INVESTIGATION FINDINGS:
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Uncleared adults providing care to daycare children

During the investigation, LPA Loraine Perez toured the facility, conducted observation and interviewed the licensee. It was alleged that there are uncleared adults providing care to daycare children. During the past inspections that LPA Loraine Perez conducted, LPA did not see any other adults providing care and supervision other than the licensee however LPA L. Perez cannot confirm what occurs after the inspection. Parent interviews did not provide additional information regarding adults in the home. Due to the limited information collected regarding the allegation, LPA L. Perez determined that the allegation uncleared adults providing care to daycre children is to be UNSUBSTANTIATED. Although it may or may have not happened, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore, the allegations are UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20240620144204
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: EKEKWE, ELSHEBIA
FACILITY NUMBER: 343623100
VISIT DATE: 09/12/2024
NARRATIVE
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Staff did not properly supervise daycare child, resulting in a child sustaining an injury

During the investigation, LPA Loraine Perez toured the facility, conducted observation, and interviewed It was alleged that staff do those pertinent to the investigation. An incident occurred in the daycare home where a child fell and was injured. The injury resulted in the child's parents seeking medical treatment and the outcome was the child sustained a fracture. From interviews, LPA L. Perez was unable to determine where the licensee was when the child fell therefore the allegation staff did not properly supervise daycare children is to be UNSUBSTANTIATED. Although it may or may have not happened, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore, the allegations are UNSUBSTANTIATED.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3