313623785-1-14-2022-03-CC-KPES-CBQPV3-20220217103827

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313623785
Report Date: 01/14/2022
Date Signed: 01/14/2022 01:25:30 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
01/13/2022 and conducted by Evaluator Christopher Bello

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20220113080948

FACILITY NAME:	LILY PAD EARLY LEARNING CENTER		FACILITY NUMBER:	313623785
ADMINISTRATOR:	THATCHER, STACI		FACILITY TYPE:	850
ADDRESS:	3330 CHISOM TRAIL		TELEPHONE:	(530) 863-9443
CITY:	LOOMIS	STATE: CA	ZIP CODE:	95650
CAPACITY:	30	CENSUS:	DATE:	01/14/2022
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Staci Thatcher		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Facility is not allowing parent to view children's records.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 12:10pm and met with Site Supervisor Staci Thatcher to open and close a complaint investigation, regarding the above allegation. Upon arrival, LPAs observed 26 children with four teachers. LPA made observations, obtained documents pertaining to the investigation and conducted interviews. It was alleged that the facility did not provide a parent with their child’s school documents upon request. Interviews and documents corroborated the allegation. This is considered as a potential risk to the children in care. Staci stated that they did not deny the parent but wanted to confirm the parent’s identity before releasing the documents to them. Based on interviews and information gathered, the preponderance of evidence was met and the above allegation is found to be Substantiated. As a result of the findings, A Technical Advisory note, LIS9102-Technical Violation was issued. Appeals Rights were given to the director at time of inspection. A Notice of site visit given and must be posted for 30 days.
There were no Title 22 deficiencies during today’s investigation. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Christopher Bello	TELEPHONE: (916) 862-0844
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022

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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