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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623207
Report Date: 02/17/2022
Date Signed: 02/17/2022 10:32:22 AM

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
12/03/2021 and conducted by Evaluator Alize Tillery
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20211203124040
FACILITY NAME:NOLAND, NICOLETTEFACILITY NUMBER:
343623207
ADMINISTRATOR:NOLAND, NICOLETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 292-8000
CITY:SACRAMENTOSTATE: CAZIP CODE:
95816
CAPACITY:14CENSUS: 5DATE:
02/17/2022
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Nicolette Noland TIME COMPLETED:
10:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
License - Licensee is not present in the home.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Thursday, February 17, 2022 at approximately 9:15 AM, Licensing Program Analysts (LPAs) Alize Tillery and Josiah Gathing met with Licensee Nicolette Noland to conduct an unannounced inspection, for the purpose of closing the complaint investigation regarding the above allegation. During today’s visit, there were 5 children present, supervised by Licensee and her Assitant.

The complaint alleged that the Licensee is not present in the home. During the course of the investigation, LPA Tillery conducted interviews with reporting party, parents, staff and children. LPA Tillery obtained conflicting information from interviews whether licensee has been present in the home. LPAs were unable to determine a violation occurred. Therefore, there is not a preponderance of evidence to prove or disprove the allegation did or did not occur, therefore the above allegation is found to be UNSUBSTANTIATED.

LPA reviewed the report with the Licensee and an exit interview was conducted.
Notice of site visit was provided and is to be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
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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