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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313609912
Report Date: 05/03/2022
Date Signed: 05/03/2022 01:08:23 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
04/27/2022 and conducted by Evaluator Amanda Blesi
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220427111019
FACILITY NAME:LITTLE SCHOOL HOUSE, THEFACILITY NUMBER:
313609912
ADMINISTRATOR:MEACHIM, MISTYFACILITY TYPE:
850
ADDRESS:801 EAST AVE.TELEPHONE:
(916) 434-1942
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:45CENSUS: 40DATE:
05/03/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Misty MeachimTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Lack of supervision: Inappropriate interactions between day care children while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amanda Blesi met with director, Misty Meachim, to open and close a complaint investigation, regarding the above allegation. Upon arrival, LPA observed 40 children in care supervised by five staff. LPA interviewed staff regarding the allegation. Staff #1 states that on 4/26/22 they were making art projects at individual tables outside on the playground. Staff state there were 10 children supervised by two staff that day. While the staff were busy assisting the children at the tables, two children were able to go under the nearby play structure and engage in inappropriate touching. Staff immediately informed the parents of both children and discussed the incident. Director then modified the play structure and put up a screen to cover the openings on the play structure to prevent children from going underneath and out of sight. Based on the evidence gathered, the preponderance of evidence standard has been met; therefore, the above allegation is SUBSTANTIATED.

Report is continued on the following page, LIC 9099-C
Deficiencies are cited on the attached report. See LIC9099-D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
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 4
Control Number 03-CC-20220427111019
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: LITTLE SCHOOL HOUSE, THE
FACILITY NUMBER: 313609912
VISIT DATE: 05/03/2022
NARRATIVE
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LPA Amanda Blesi informed facility representative, Misty Meachim that this report dated 5/3/22 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Amanda Blesi informed the licensee to provide a copy of this licensing report dated 5/3/22 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.


Exit interview conducted and report was reviewed with the facility representative Misty Meachim. Appeal Rights provided.

A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20220427111019
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: LITTLE SCHOOL HOUSE, THE
FACILITY NUMBER: 313609912
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/04/2022
Section Cited
CCR
101229(a)
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Responsibility for providing care and supervision: The licensee shall provide care and supervision as necessary to meet the children's needs
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Deficiency was corrected when the director constructed a screen over the opening of the play structure so children can no longer play underneath.
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This requirement was not met as evidenced by: there was a lapse in supervision during an art project which resulted in two children engaging in inappropriate touching underneath the play structure. This is an immediate risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20220427111019
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: LITTLE SCHOOL HOUSE, THE
FACILITY NUMBER: 313609912
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/10/2022
Section Cited
CCR
101212(d)(c)
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Reporting Requirements:Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
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Director shall submit an Unusual Incident Report (LIC624) to licensing within 7 days, regarding the lack of supervision that occurred on 4/26/22.
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Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met as evidenced by: two children engaged in inappropriate touching while under the play structure. Director failed to notify licensing of this occurrence. This is a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4