093621956-9-27-2022-03-CC-NDUY-CJQPJ7-20220929112103

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 093621956
Report Date: 09/27/2022
Date Signed: 09/27/2022 04:07:49 PM

Substantiated

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
07/19/2022 and conducted by Evaluator Arianna Manabat

COMPLAINT CONTROL NUMBER: 03-CC-20220719152025

FACILITY NAME:	STEP BY STEP EARLY LEARNING CHILDCARE CENTER		FACILITY NUMBER:	093621956
ADMINISTRATOR:	BAILEY, CANDACE		FACILITY TYPE:	830
ADDRESS:	981 SILVER DOLLAR		TELEPHONE:	(530) 541-1320
CITY:	SOUTH LAKE TAHOE	STATE: CA	ZIP CODE:	96150
CAPACITY:	60	CENSUS: 43	DATE:	09/27/2022
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Candace Bailey		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff not following infant's feeding plan.

INVESTIGATION FINDINGS:

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On 09/27/2022, Licensing Program Analyst (LPA) Arianna Manabat met with Director Candace Bailey to close a complaint. It was alleged that the facility staff did not follow an infant's feeding plan. During the investigation, LPA conducted interviews with staff, made observations at the facility, and reviewed documentation. LPA observed documentation from the facility which indicates that a child (c1) was handed the wrong bottle by accident and drank breast milk from said wrong bottle.

LPA Manabat observed children's records and needs and services plans and compared the information to the information logged on bright wheel app. LPA Manabat found that the child was not authorized to drink the breast milk and that this was a one time occurance. The facility reported that the bottle was warmed, correctly labeled, and that the authorized representative was in the room during the incident.

Based on the evidence that was gathered, and after consultation with LPM, LPA determined the preponderance of evidence standard has been met. Therefore, the allegation is determined to be substantiated. Continued on 9099-C...

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Arianna Manabat	TELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 03-CC-20220719152025

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: STEP BY STEP EARLY LEARNING CHILDCARE CENTER	FACILITY NUMBER: 093621956
	VISIT DATE: 09/27/2022

NARRATIVE

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...Continued from 9099...
Title 22 deficiencies are cited on the subsequent page of this report. If not corrected, these violations pose and immediate risk to the health and safety of children in care. Director acknowledges, that upon receipt TYPE A DEFICIENCIES, a LIC 9099-D with Type A deficiencies shall be posted for 30 days.

Director also acknowledges that they must provide copies of this licensing report to parents/guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months. LPA provided an LIC 9224, which must be signed by parents/guardians and kept with the children's files. Appeal Rights were provided. An exit interview was conducted, and a Notice of Site Visit posted.

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Arianna Manabat	TELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 03-CC-20220719152025

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: STEP BY STEP EARLY LEARNING CHILDCARE CENTER	FACILITY NUMBER: 093621956
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/27/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 09/28/2022 Section Cited CCR 101427(c)	1 2 3 4 5 6 7	Infant Care Food Service: (c) The infant shall be fed in accordance with the individual plan. This requirment was not met as evidenced by an infant child drinking the breast milk during a one time misbottling incident.	1 2 3 4 5 6 7	The facility has implemented a plan to ensure that children are being fed the correct bottles by using a two-step verification method with all staff handling infants in care. LPA Manabat has cleared this deficiency as on 09/27/2022
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Arianna Manabat	TELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3