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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500769
Report Date: 01/21/2025
Date Signed: 01/21/2025 03:10:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
10/16/2024 and conducted by Evaluator Erwin Tjhia
COMPLAINT CONTROL NUMBER: 53-CC-20241016093045
FACILITY NAME:KAUR, GAGANDEEPFACILITY NUMBER:
394500769
ADMINISTRATOR:KAUR, GAGANDEEPFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 923-2312
CITY:LATHROPSTATE: CAZIP CODE:
95330
CAPACITY:14CENSUS: 6DATE:
01/21/2025
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Gagandeep KaurTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Daycare child sustained fracture while in care.
Provider left daycare child soiled in feces.
INVESTIGATION FINDINGS:
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Licensing Program Analyst’s (LPA) Erwin Tjhia and Regional Manager Roxana Saravia conducted an unannounced field visit to deliver the findings for the above allegations. LPA arrived at the facility and was greeted by the licensee, Gagandeep Kaur. LPA observed 6 children in care being supervised by Licensee. LPA verified that all required adults are background cleared by accessing guardian.

Department’s Investigation Branch conducted the investigation. It was alleged that Daycare child sustained fracture while in care. Throughout the investigation, Investigator Birk conducted interviews with victim and the parents, Physician Assistant of Dameron Hospital, Social Worker of San Joaquin CPS, daycare children, and licensee. Investigator Birk also obtained and reviewed the reports from Lathrop Police department and Dameron Hospital Medical report.

Report Continue on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
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 53-CC-20241016093045
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: KAUR, GAGANDEEP
FACILITY NUMBER: 394500769
VISIT DATE: 01/21/2025
NARRATIVE
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Furthermore, it was also alleged that provider left daycare child soiled in feces. The case was returned to Sacramento South Childcare Regional Office. Throughout the investigation, LPA conducted observations, and interviewed with licensee and parents. Interviews with licensee revealed that children’s diapers were checked every hour and changed frequently. The Interview also revealed that there was never any incident where the children were left in dirty diaper. During the visit at the facility, LPA observed some wipes and dirty diapers at the changing table. LPA was informed that the children were just changed before they went to sleep. Interview with parents revealed that the children never left soaked in dirty diaper. The interview also revealed that they did not has any concern regarding this.

Based on conflicting statements and lack of clear corroborating evidence, the above allegations could not be substantiated or dismissed. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding are UNSUBSTANTIATED.



An exit Interview was conducted with licensee, Gagandeep Kaur. Appeal Rights were provided, and LPA posted a Notice of Site Visit which must remain posted for 30 days.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2