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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 573610487
Report Date: 12/09/2024
Date Signed: 12/09/2024 09:50:35 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
11/21/2024 and conducted by Evaluator Lauren Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20241121095239
FACILITY NAME:COOK, STEPHANIEFACILITY NUMBER:
573610487
ADMINISTRATOR:COOK, STEPHANIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 718-6278
CITY:WOODLANDSTATE: CAZIP CODE:
95776
CAPACITY:14CENSUS: 4DATE:
12/09/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:licensee, Stephanie CookTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not meet a daycare child's diapering needs.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Lauren Scott met with licensee, Stephanie Cook, to deliver the findings of the complaint investigation regarding the above allegation.
During the course of the investigation, LPA Scott conducted interviews and obtained information pertaining to the allegation. It was alleged that one child's diapering needs were not being met. LPA learned although the child may have obtained a rash, the reason for the rash was not apparent.
Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. LPA learned that there was not a clear reason for the rash being present, whether it was due to illness or another factor. 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, therefore the finding is UNSUBSTANTIATED.
Exit interview was conducted. 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE:

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

DATE: 12/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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