093617580-11-3-2021-03-CC-MMAA-C8MVNK-20211110153514

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 093617580
Report Date: 11/03/2021
Date Signed: 11/03/2021 09:49:19 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
08/23/2021 and conducted by Evaluator Michelle Pascual

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210823160545

FACILITY NAME:	PRAISELAND ACADEMY OF EL DORADO HILLS (PS)		FACILITY NUMBER:	093617580
ADMINISTRATOR:	HESTER, LISA JANELL		FACILITY TYPE:	850
ADDRESS:	5003 WINDPLAY, SUITE 3		TELEPHONE:	(530) 781-3556
CITY:	EL DORADO HILLS	STATE: CA	ZIP CODE:	95762
CAPACITY:	97	CENSUS: 51	DATE:	11/03/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Lisa Hester		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Personal Rights- Child sustained unexplained injury while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Pascual met with Director Lisa Hester on 11/3/2021 approximately at 09:00AM to deliver complaint findings for the allegation mentioned above.
There were 51 children in attendance and five teachers, including the Director.

On August 23rd, 2021 LPA received a complaint. The complainant alleged “child sustained an unexplained injury while in care.” On August Child #1 obtained a neck injury that resembled a burn mark during nap time. The incident was reported and medical treatment was sought. LPA interviewed all parties involved, reviewed medical documents obtained and found that although the medical documents stated that Child #1 had an injury that resembled a burn it was unclear if the injury occurred within the facility. The injury obtained did not correspond with the information the child provided. LPA could not corroborate the allegation via interviews and observations.

Throughout the investigation LPA could not find sufficient evidence to corroborate the allegation. Based on the information obtained throughout the course of this investigation the above allegation could not be substantiated or dismissed. Although the allegations may have happened (or is valid), there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the finding is UNSUBSTANTIATED.

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: 10/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2021

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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