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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394501119
Report Date: 03/09/2026
Date Signed: 03/09/2026 10:58:26 AM

Substantiated


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
02/09/2026 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20260209121444
FACILITY NAME:KIRN, DAWNAFACILITY NUMBER:
394501119
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
03/09/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Kirn, DawnaTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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1. Personal Rights: Child sustained bite marks while in care

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) David Nguyen and Licensing Program Manager (LPM)j Chayntel Hunter met with licensee, Dawna Kirn to deliver the findings of the complaint investigation regarding the above allegation. LPA Nguyen explained the purpose of the unannounced inspection. There were two (2) daycare children present at the time of the visit. Licensee’s assistant was also present at the start of the inspection.

It was alleged that “Child sustained bite marks while in care.” Throughout the investigation, LPA Nguyen conducted observations and interviewed licensee, daycare parents, and former daycare parent, and obtained pertinent information to assist with the complaint investigation. During today’s visit, LPA and LPM discussed with licensee some effective strategies for children’s personal rights.

Based on the interviews conducted and record reviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The following Title 22 Deficiency is being cited on the subsequent 9099-D page.
Report continues on LIC9099-C... (PGE 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
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 5
Control Number 53-CC-20260209121444
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: KIRN, DAWNA
FACILITY NUMBER: 394501119
VISIT DATE: 03/09/2026
NARRATIVE
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(Page 2)

LPA David Nguyen informed licensee that this report dated 03/09/2026, documents one (1) type-A citation during the course of investigation. Type-A citation which shall be posted for 30 days consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA David Nguyen informed the licensee to provide a copy of this licensing report dated 03/09/2026 that documents any Type-A citation 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 or Receipt of Licensing Report (LIC9224) or other written statement, must be in the child’s file for verification.

LIC9224 and Appeal Rights were provided. An exit interview was conducted, and the report was reviewed with licensee. A Notice of Site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 53-CC-20260209121444
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: KIRN, DAWNA
FACILITY NUMBER: 394501119
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/10/2026
Section Cited
CCR
101223(a)(2)
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(a) The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement was not met as evidenced by:
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LPA provides licensee with link for training video. Licensee agrees to watch Personal Rights Video and write a statement acknowledging she watched and understands the personal rights. Licensee also agrees to provide a safe, healthful, and comfortable accommodations to the daycare children while they are in her care.
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Based on record review and interviews, it was revealed that child # 1 sustained multiple bite marks while attending the daycare. This poses an immediate health, safety, or personal rights risk to children in care.
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Licensee was given the link for video training:
https://ccld.childcarevideos.org/family-child-care-providers/
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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: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
02/09/2026 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20260209121444

FACILITY NAME:KIRN, DAWNAFACILITY NUMBER:
394501119
ADMINISTRATOR:KIRN, DAWNAFACILITY TYPE:
810
ADDRESS:2209 SAINT ANTON DRTELEPHONE:
(209) 490-3445
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY:8CENSUS: DATE:
03/09/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Kirn, DawnaTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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1. Reporting Requirements: Licensee did not follow reporting requirements.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) David Nguyen and Licensing Program Manager (LPM) Chayntel Hunter met with licensee, Dawna Kirn to deliver the findings of the complaint investigation regarding the above allegation. LPA Nguyen explained the purpose of the unannounced inspection. There were two (2) daycare children present at the time of the visit. Licensee’s assistant was also present at the start of the inspection.

It was alleged that “Licensee did not follow reporting requirements.” Throughout the investigation, LPA Nguyen conducted observations and interviewed licensee, daycare parents, and former daycare parent, and obtained pertinent information to assist with the complaint investigation.

Based on interviews with licensee and daycare parents. LPA Nguyen learned that licensee keeps daycare parents up to date on the daycare children’s activities or behaviors by sending daycare parents text messages or calling parents to inform daycare parents of their children’s activities and/or behaviors. In addition, LPA Nguyen learned that licensee keeps daycare parents up to date on the incidents and/or injuries of the daycare children by sending text messages or calling parents to notify them.

Based on interviews with daycare parents, LPA learned that parents who were interviewed expressed their satisfaction with reporting requirements and communication with licensee!

Report continues on LIC9099-C... (Page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 53-CC-20260209121444
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: KIRN, DAWNA
FACILITY NUMBER: 394501119
VISIT DATE: 03/09/2026
NARRATIVE
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(Page 2)
Based on conflicting information obtained from the interviews, LPA Nguyen is unable to determine whether licensee did or did not follow reporting requirements. Therefore, this complaint allegation was found to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur at the facility.

An exit interview was conducted in which appeal rights were provided and a copy of this report was provided and reviewed with the licensee, Dawna Kirn. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5