<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 553610473
Report Date: 07/27/2021
Date Signed: 07/27/2021 12:30:11 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
05/11/2021 and conducted by Evaluator Justin L Denton
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20210511143534
FACILITY NAME:RICE, KERRYFACILITY NUMBER:
553610473
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 10DATE:
07/27/2021
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Kerry Ann RiceTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child was injured while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Justin Denton conducted an unannounced inspection at the above facility to deliver the finding for the above complaint allegation. During the inspection, LPA met with Licensee Kerry Rice. Also present was Licensee's helper.

The Department received a report alleging that a child was injured in Rice's care. Documents were obtained and interviews were conducted on 7/19/21 and 7/22/21 Licensee provided photos and copies of relevant emails. Information obtained during interviews did not provide sufficient evidence that a child was injured due to lack of supervision by the licensee.

Based on interviews, observations, documentation, and other information gathered, there was not a preponderance of evidence to prove or negate the allegation, therefore the allegation is unsubstantiated An exit interview was conducted. This report and appeal rights were provided to the licensee.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Justin L Denton
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
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