310316182-4-9-2021-03-CC-KPES-C25PW5-20210416114011

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 310316182
Report Date: 04/09/2021
Date Signed: 04/09/2021 02:46:39 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
02/11/2021 and conducted by Evaluator Amanda Blesi

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210211152554

FACILITY NAME:	LITTLE ORCHARD PRESCHOOL		FACILITY NUMBER:	310316182
ADMINISTRATOR:	PIETTE, SUSAN		FACILITY TYPE:	850
ADDRESS:	5895 BRACE ROAD		TELEPHONE:	(916) 652-4973
CITY:	LOOMIS	STATE: CA	ZIP CODE:	95650
CAPACITY:	43	CENSUS: 22	DATE:	04/09/2021
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Susan Piette		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is over ratio

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 4/09/21 at approximately 2:15pm, due to the COVID-19 pandemic, Licensing Program Analyst (LPA), Amanda Blesi, conducted a tele-inspection via Facetime and met with Director/owner, Susan Piette, to deliver findings and conclude the complaint investigation of the above allegation. Census was 22 preschool children supervised by 5 staff. It was alleged the facility is over ratio. Although the allegation may or may not have occurred, due to conflicting information obtained during the interviews, there was not a preponderance of evidence obtained to prove the allegation; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted and Notice of Site Visit was provided to be posted for 30 days. Facility evaluation report was emailed to Director and an email verification of receipt of report will be used in lieu of a signature on this report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2021

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 2