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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313621208
Report Date: 12/10/2019
Date Signed: 12/10/2019 02:38:24 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
12/06/2019 and conducted by Evaluator Christopher Bello
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20191206173500
FACILITY NAME:SMART START AUBURNFACILITY NUMBER:
313621208
ADMINISTRATOR:BOOTH, SHANNAHFACILITY TYPE:
850
ADDRESS:1273 HIGH STREETTELEPHONE:
(916) 303-0851
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:75CENSUS: 31DATE:
12/10/2019
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Shannah BoothTIME COMPLETED:
02:55 PM
ALLEGATION(S):
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The facility is operating out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Christopher Bello and Mai Lor met with Director Shannah Booth to open and close a complaint investigation, regarding the above allegation. Upon arrival, LPAs observed 31 Children with four teachers. It was alleged that the facility was operating out of ratio. At approximately 1:36pm LPAs observed the “Explorer’s Room” during naptime with 26 children and one teacher, placing the room out of Teacher- Child Ratios. This is considered as a immediate risk to the children in care. The facility was previously cited on 11/8/19 (See LIC809D dated 11/8/19) for the same violation. Due to a repeat violation within 12 months, the facility accessed with a Civil Penalty. Director stated that there was two extra children who wanted to nap today, but stated that they have enough staff to cover ratios.
Based on LPAs' investigation the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Title 22 deficiencies are cited on the subsequent page of this report. Type Acknowledgement forms are to be signed by current parent of the facility and new parents for the next twelve months. LIC 9224 and Appeal Rights were provided. An exit interview was conducted and a Notice of Site Visit posted which must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Christopher BelloTELEPHONE: (916) 862-0844
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019
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
Control Number 03-CC-20191206173500
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: SMART START AUBURN
FACILITY NUMBER: 313621208
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/11/2019
Section Cited
CCR
101216.3(a)
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There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. This requirement was not met as evidenced by: LPAs observed that a room with 26 napping children with on teacher. This is considered as a immediate risk to the children in care.
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Director stated that they are getting more staff. Director stated that she will step in in order to prevent Teacher-Child Ratio issues.
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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.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Christopher BelloTELEPHONE: (916) 862-0844
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2