093616215-3-29-2022-03-CC-JBRE-CCZT5W-20220330142609

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 093616215
Report Date: 03/29/2022
Date Signed: 03/29/2022 01:48:50 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
02/24/2022 and conducted by Evaluator Mikah Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20220224115650

FACILITY NAME:	COUNTRY KIDS DAYCARE & PRESCHOOL		FACILITY NUMBER:	093616215
ADMINISTRATOR:	SPRINGER, ASHLEE		FACILITY TYPE:	850
ADDRESS:	610 PLEASANT VALLEY ROAD		TELEPHONE:	(530) 642-1630
CITY:	DIAMOND SPRINGS	STATE: CA	ZIP CODE:	95619
CAPACITY:	28	CENSUS: 15	DATE:	03/29/2022
		UNANNOUNCED	TIME BEGAN:	10:25 AM
MET WITH:	Ashlee Springer		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility is in disrepair
Facility is unsanitary
Facility staff yell at day care children in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Martinez and Manabat conducted an unannounced complaint visit and met with Director Ashlee Springer. It was alleged the facility is in disrepair, unsanitary, and that facility staff yell at day care children while in care. The director initially denied the allegations stating they clean daily and she only makes her voice louder to get the attention of children. During a visit on 3/3/22 LPA Martinez observed the play area needed additional bark which the Director did send to COLD a purchase order for the correction. On 3/29/22 LPA Martinez and Manabat toured the facility and observed the classroom should have some repairs to walls and the toilets needed cleaning as they had a ring around the bowl. LPA's also observed that the trash and walls need to be wiped down as they have peeling paint, indents where something has pushed the wall in and dirt on high traffic area. It was also alleged that the facility staff yell at day care children. During the initial visit on 3/3/22, LPA Martinez observed the Director yell at a child (C1). During today's inspection LPA Martinez and Manabat observed the Director holding C1 from the arms to not run away. C1 was yelling and refusing to sit down. The director was heard yelling at the C1 to listen. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.

Substantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Mikah Martinez	TELEPHONE: (916) 862-1086
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022

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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Control Number 03-CC-20220224115650

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: COUNTRY KIDS DAYCARE & PRESCHOOL	FACILITY NUMBER: 093616215
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/29/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/30/2022 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by; The director was heard yelling at C1 to listen and to pay attention while in front of the other child care children	1 2 3 4 5 6 7	This is an immediate health and safety risk to children in care. The director will send in writing a plan for behavior regarding staff stepping in for child C1. This shall be sent into CCLD no later than 3/30/22. The licensee/director stated she will send in to ccl actions practiced at home and mirrored at the center. LIC 9224 will be required to be maintained in each child's file.
Type B 04/01/2022 Section Cited CCR 101238(a)	1 2 3 4 5 6 7	(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by; LPA's observed the bathroom toilets to have rings and need cleaning, walls need to be patched and cleaned, trash cans need to be cleaned.	1 2 3 4 5 6 7	This is a potential health and safety risk to children in care. The director will send in a plan for the following cleaning and correction procedures. The Director will send in a plan and photos to complete the updates and cleaning no later than 4/1/22.
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	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Mikah Martinez	TELEPHONE: (916) 862-1086
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022

LIC9099 (FAS) - (06/04)

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