093623233-12-9-2020-03-CC-MMAA-BWK2CG-20201222161645

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 093623233
Report Date: 12/04/2020
Date Signed: 12/09/2020 03:52:11 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
06/23/2020 and conducted by Evaluator Michelle Pascual

COMPLAINT CONTROL NUMBER: 03-CC-20200623125051

FACILITY NAME:	PINE TOP INFANT & TODDLER CTR (INF)		FACILITY NUMBER:	093623233
ADMINISTRATOR:	BROWN, KAREN		FACILITY TYPE:	830
ADDRESS:	5723 PONY EXPRESS COURT		TELEPHONE:	(530) 391-2604
CITY:	POLLOCK PINES	STATE: CA	ZIP CODE:	95726
CAPACITY:	16	CENSUS: 16	DATE:	12/04/2020
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Jill Kime		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Supervision- Unqualified staff is being left alone with daycare children
Supervision- Facility is operating out of ratio
Other- Facility did not have running water
Personal Rights- Staff is not following infant care food services

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Michelle Pascual met with director Jill Kime to deliver findings for the above complaint. The complaint alleged that “Unqualified staff is being left alone with daycare children, facility is operating out of ratio, facility did not have running water and staff is not following infant care food services.”

According to the complaint the staff are not qualified to supervise children as they are not fully qualified teachers, and there are too many children to teachers and/or aids. The complaint also alleged the there is no running water nor were the food services plans followed. LPA interviewed multiple parents and staff and found that the facility is following all title 22 regulations. Infants are fed on demand, water is housed in a large jug and taken outside when the children play. Further, sippy cups and milk are available to the infants. The parents indicated that they see two to three teachers at a time with children, which also includes an aid. There are no parent concerns and it was stated that the Site Supervisor is available at all times for any concerns. Based on the information gathered throughout the course of this investigation there was not sufficient enough evidence nor information to support or dismiss the above allegation. Therefore, the findings for the above allegations was determined to be UNSUBSTANTIATED.
An exit interview was conducted in which the report was reviewed and discussed with the licensee

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Michelle Pascual	TELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2020

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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