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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093616214
Report Date: 11/18/2021
Date Signed: 11/18/2021 03:00:24 PM



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
10/27/2021 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20211027144326
FACILITY NAME:COUNTRY KIDS DAYCARE & PRESCHOOLFACILITY NUMBER:
093616214
ADMINISTRATOR:SPRINGER, ASHLEEFACILITY TYPE:
830
ADDRESS:610 PLEASANT VALLEY ROADTELEPHONE:
(530) 642-1630
CITY:DIAMOND SPRINGSSTATE: CAZIP CODE:
95619
CAPACITY:8CENSUS: 6DATE:
11/18/2021
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Ashlee SprinerTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are respecting children's personal rights.
INVESTIGATION FINDINGS:
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On 11/18/2021, Licensing Program Analyst (LPA) Jeremey McClain met with director Ashlee Springer for the purpose of closing a complaint investigation. LPA observed six infants supervised by two teachers. It was alleged that a staff member does not afford children personal rights by yelling at them and speaking to them in negative tone. During the investigation, LPA conducted interviews with staff and parents, made observations of staff and child interactions, and reviewed staff files. LPA determined the evidence gathered was not enough to support or disprove the allegations. The preponderance of evidence standard has not been met, and the allegation has been determined to be unsubstantiated.

There were no Title 22 deficiencies as a result of the investigation. LPA reviewed this report with Director and provided a Notice of Site Visit that must be posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
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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