090308259-10-7-2021-03-CC-MMAA-C7TP3K-20211015105738

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 090308259
Report Date: 10/01/2021
Date Signed: 10/07/2021 09:55:32 AM

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
08/26/2021 and conducted by Evaluator Michelle Pascual

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210826114847

FACILITY NAME:	HAPPY KIDS PRESCHOOL AND DAY CARE - COLOMA		FACILITY NUMBER:	090308259
ADMINISTRATOR:	YVONNE BEAL		FACILITY TYPE:	850
ADDRESS:	2786 COLOMA STREET		TELEPHONE:	(530) 626-0344
CITY:	PLACERVILLE	STATE: CA	ZIP CODE:	95667
CAPACITY:	30	CENSUS: 15	DATE:	10/01/2021
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Yvonne Beal		TIME COMPLETED:	10:20 AM

ALLEGATION(S):

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Personal Rights-

Facility is not following isolation guidelines children showing signs of illness

Facility is not enforcing mask protocols

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Michelle Pascual met with facility Director Yvonne Beal, to deliver findings for the above complaint allegations. The complaint alleged the facility is not enforcing mask protocol and they are not following isolation guidelines. LPA interviewed all five (5) staff including the Director, toured the facility, obtained documents, took photos of COVID protocol signs and witnessed the COVID “self-attestation” form that the facility requires parents to fill out on their child’s behalf. The form asks parents to indicate if their child has any illness symptoms, such as, fever, cough, chills, shortness of breath etc. The parents will attest that their child does not display symptoms of illness and initial the form.
Throughout the investigation, LPA found that parents have a specific drop off area that is located in the entryway and do not walk through the facility without permission.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Michelle Pascual	TELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021

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-20210826114847

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: HAPPY KIDS PRESCHOOL AND DAY CARE - COLOMA	FACILITY NUMBER: 090308259
	VISIT DATE: 10/01/2021

NARRATIVE

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LPA also found that the facility does have an isolation room for children who are ill. LPA reviewed the illness protocol located within the handbook that is provided to all parents. The illness protocol indicates children with fevers will be sent home and cannot return until they are fever free for 24 hours. Moreover, it also indicates that children are to remain home if they have rashes, vomiting or pink eye. LPA found that there has not been any concerns from parents regarding the mask policy and that children are encouraged on a daily basis to wear them. Further, LPA found that the facility has transitioned most of their indoor classroom time to the outdoors which allows children to be mask free per El Dorado county guidelines. LPA also observed the facility while children were indoors and witnessed children wearing masks as well as all staff. Based on the information gathered throughout the course of this investigation there was not sufficient evidence nor information to support or dismiss the above allegation. Therefore, the finding for the above allegation was determined to be UNSUBSTANTIATED. An exit interview was conducted in which the report was reviewed and discussed with the licensee

Appeal rights were discussed and a printed version was given to licensee.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Michelle Pascual	TELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021

LIC9099 (FAS) - (06/04)

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