313622448-3-9-2023-03-CC-KPES-CPZM9F-20230317092439

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313622448
Report Date: 03/09/2023
Date Signed: 03/09/2023 12:29:58 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
01/12/2023 and conducted by Evaluator Katrina Owens

COMPLAINT CONTROL NUMBER: 03-CC-20230112150618

FACILITY NAME:	A KID'S LIFE (PS)		FACILITY NUMBER:	313622448
ADMINISTRATOR:	SUZANNE BENEDICT		FACILITY TYPE:	850
ADDRESS:	307 SUTTER AVENUE		TELEPHONE:	(916) 786-3660
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95678
CAPACITY:	88	CENSUS: 38	DATE:	03/09/2023
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Suzanne Benedict - Director		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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9

LACK OF SUPERVISION: Facility staff are not properly supervising children resulting in childen injuring each other.

INVESTIGATION FINDINGS:

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13

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina Owens	TELEPHONE: (916) 879-1175
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
01/12/2023 and conducted by Evaluator Katrina Owens

COMPLAINT CONTROL NUMBER: 03-CC-20230112150618

FACILITY NAME:	A KID'S LIFE (PS)		FACILITY NUMBER:	313622448
ADMINISTRATOR:	SUZANNE BENEDICT		FACILITY TYPE:	850
ADDRESS:	307 SUTTER AVENUE		TELEPHONE:	(916) 786-3660
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95678
CAPACITY:	88	CENSUS: 38	DATE:	03/09/2023
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Suzanne Benedict - Director		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

QUALIFICATIONS: An aide is supervising children without being under the direct supervision of a teacher.

INVESTIGATION FINDINGS:

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7
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9
10
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13

An unannounced inspection was conducted today by Licensing Program Analyst Owens.
LPA met with Director Suzanne Benedict and Owner Edmund David. At time of arrival LPA observed 38 preschool children and 6 staff.

The purpose of the inspection is to close a complaint investigation that was originally opened on January 13, 2023.

Based on interviews an aide was being left alone to supervise children when staff went on breaks and/or lunches and children were not napping without being under the direct supervision of a qualified teacher.

The preponderance of evidence standard has been met during this investigation, therefore the above allegation is found to be SUBSTANTIATED. Violations of the California Code of Regulations, Title 22, Division 12 & Chapter 3 are being cited on the attached LIC9099D.

This is a Type A deficiency, hence AB633 Notification Applies: Upon receipt of this report, the report must be posted along with the notice of site visit for 30 days for parents to view. Licensee must inform the parents/guardians of children in care at the facility and to the parents/guardians of children newly enrolled at the facility during the next 12 months via form LIC 9224 Acknowledgement of Receipt of Licensing Reports.

Notice of site visit posted.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina Owens	TELEPHONE: (916) 879-1175
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

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

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 03-CC-20230112150618

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: A KID'S LIFE (PS)	FACILITY NUMBER: 313622448
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/09/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/13/2023 Section Cited CCR 101216.2(e)	1 2 3 4 5 6 7	Teacher Aide Qualifications and Duties An aide shall work only under the direct supervision of a teacher. This requirement was not met by: An aide was left in the classroom to	1 2 3 4 5 6 7	Owner stated the aide will not be left alone with children without a qualified teacher being present. The staff leaving aide in classroom no longer works at facility. An all staff meeting is scheduled for Monday,
	8 9 10 11 12 13 14	supervise children while teacher went on break and/ or lunch and the children were not napping. This is an immediate risk to a child.	8 9 10 11 12 13 14	3/12/2023 this will be on the agenda. He will send a sign in sheet of all attending meeting. LIC 9224 was given and discussed at time of inspection. If POC is not corrected by 3/13/2023 a civil penalty may be assessed.
	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: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina Owens	TELEPHONE: (916) 879-1175
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

LIC9099 (FAS) - (06/04)

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