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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623767
Report Date: 04/21/2021
Date Signed: 04/22/2021 03:30:17 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
02/19/2021 and conducted by Evaluator Rosie Pitts
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210219084835
FACILITY NAME:PARKER, MARKFACILITY NUMBER:
343623767
ADMINISTRATOR:PARKER, MARKFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(219) 384-1228
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY:14CENSUS: 9DATE:
04/21/2021
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Mark ParkerTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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8
9
Other-Daycare children are in off limit areas of the home
lack of supervision- Daycare children are left unattended
INVESTIGATION FINDINGS:
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2
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5
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9
10
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*Due to COVID-19 pandemic social distancing guidelines, LPA is conducting the meeting via FaceTime.
Licensing Program Analyst (LPA) Rosie Pitts met with the Licensee and staff #1 to close the above complaint allegations. Upon arrival, 9 children were being supervised. The complainant alleged that day care children are left unattended during drop offs. During the course of the investigation, LPA made observations outside the facility and observed parents walking their children to the door of the facility.
The complainant also alleged that Day Care children are in the off limit area upstairs. During a facility teleinspection, LPA observed 2 children in the upstairs off limit area, but learned that the 2 children live in the home and attend a different DayCare. During several other inspections, no children were observed in the upstairs off limit area.
Report continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Rosie Pitts
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2021
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 2
Control Number 03-CC-20210219084835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: PARKER, MARK
FACILITY NUMBER: 343623767
VISIT DATE: 04/21/2021
NARRATIVE
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Based on observations and interviews conducted, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur at the facility; therefore, the allegations are UNSUBSTANTIATED.
Appeal rights were discussed and a copy of this report was provided
In lieu of Licensee's signature, LPA Pitts is e-mailing the report with a read receipt request.
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Rosie Pitts
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2