345920069-9-1-2026-59-AS-LMUZ-DXTRTB-20260911131805

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345920069
Report Date: 09/01/2026
Date Signed: 09/01/2026 11:51:21 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 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
08/31/2026 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20260831120222

FACILITY NAME:	JAZBA CARE STAMP MILL		FACILITY NUMBER:	345920069
ADMINISTRATOR:	VIPULANANDA, SANGEETHA		FACILITY TYPE:	740
ADDRESS:	2625 STAMP MILL COURT		TELEPHONE:	(916) 838-1457
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	6	CENSUS: 5	DATE:	09/01/2026
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Administrator, Shane Stumpf		TIME COMPLETED:	12:10 PM

ALLEGATION(S):

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Licensee does not ensure staff are first aid certified.
Licensee does not ensure staff have a tuberculosis certification.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 9/1/26 to do complaint investigation for above allegations. LPA was greeted by staff and staff called Administrator, Shane Stumpf who came to the facility after short while. LPA explained the purpose of today's visit.

The department conducted records review ,facility observations and interviews to investigate the complaint. Administrator interview indicated that staff files were complete and maintained per Regulations and there were no issues. Record review indicated that staff files contain all required documents including Current CPR/First Aid certification, TB Clearance and other required paperwork and found them to be complete and organized. Based on these findings, these allegation are considered UNFOUNDED.
A finding that the allegations are Unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted. A copy of this report has been provided to facility.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026

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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