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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343619199
Report Date: 09/03/2024
Date Signed: 09/03/2024 10:55:52 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO 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
08/28/2024 and conducted by Evaluator Christopher Bello
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240828153300
FACILITY NAME:GUERIN, DEANIEFACILITY NUMBER:
343619199
ADMINISTRATOR:GUERIN, DEANIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 395-1916
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY:14CENSUS: 4DATE:
09/03/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Deanie GuerinTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Lack of supervision resulted in multiple children wandering away from facility unattended
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christopher Bello met licensee Deanie Guerin to open and close a complaint investigation, regarding the above allegation. Upon arrival, LPA observed four children. Also present was licensee’s daughter who was acting as an assistance. LPA made observations, gathered documents pertaining to the investigation and conducted interviews. It was alleged that the provider was unaware that four children left the facility and were found in the middle of a Mainstreet that connects to the neighborhood by members of the community. Licensee self-reported the incident.
Licensee stated that she corrected the issue by installing new sensors on the door and camera.
Based on LPA's investigation, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. A civil penalty of $500 dollars was accessed.

Title 22 Deficiencies have been cited on the attached LIC 9099D. Upon receipt of Type A citations, facility shall post and provide copies of the LIC 9099D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, Acknowledging Receipt of Licensing Reports LIC 9099D in each child's files. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative] Deanie Guerin.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
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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Control Number 03-CC-20240828153300
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: GUERIN, DEANIE
FACILITY NUMBER: 343619199
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/04/2024
Section Cited
CCR
102417(a)
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The licensee shall be present in the home and shall ensure that children in care are supervised at all times. This requirement has not been met by evidence: Four children wandered away from the facility without the provider's knowledge. This is considered as an immediate risk to the children in care.
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Licensee stated that she added sensors to prevent situations like this from occuring again.
Licensee will write and submit a report on how they will prevent occurences such as these from occuring to LPA by POC date 9/4/24.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2