340300156-4-29-2020-03-CC-BENN-BP5VB5-20200429161659

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 340300156
Report Date: 04/28/2020
Date Signed: 04/29/2020 03:13:13 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
01/24/2020 and conducted by Evaluator Kristal Goodell

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20200124142044

FACILITY NAME:	CORDOVA BAPTIST PRESCHOOL		FACILITY NUMBER:	340300156
ADMINISTRATOR:	HUPPERT, CARRIE		FACILITY TYPE:	850
ADDRESS:	10527 COLOMA ROAD		TELEPHONE:	(916) 638-5506
CITY:	RANCHO CORDOVA	STATE: CA	ZIP CODE:	95670
CAPACITY:	87	CENSUS: 0	DATE:	04/28/2020
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Carrie Huppert		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Personal Rights: Staff makes inappropriate comments towards day care children.
Record Keeping: Staff are not documenting injuries appropriately.
Supervision: Staff are not adequately supervising day care child.
Other: Staff are allowing people to pick up day care children without checking that they are authorized.
Food Services: Facility staff served food item(s) that day care child is allergic to.

INVESTIGATION FINDINGS:

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LPA Goodell conducted an investigation regarding the allegations listed above. LPA contacted facility on 4/16/20 and 4/21/20 to deliver findings for complaint allegations. During the investigation, LPA Goodell toured facility and conducted observations among staff and children. LPA interviewed children, parents, reporting party and staff. It was alleged that staff make inappropriate comments to children. During interviews LPA was unable to obtain information regarding inapporpriate comments. In addition, through staff and parent interviews LPA obtained information regarding staff interaction with children which conflict with allegation.

It was also alleged that staff do not document child injuries. LPA observed a clipboard located in the office where incidents are documented. LPA also reviewed files and obtained documents regarding incidents related to the complaint allegation. Although it was alleged that staff do not document injuries appropriately, LPA learned through interviews that staff communicate incidents to parents via phone call, written, or in-person. LPA also learned through children interviews that staff apply 1st aide when accidents occur.
Report continues on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2020

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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Control Number 03-CC-20200124142044

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: CORDOVA BAPTIST PRESCHOOL	FACILITY NUMBER: 340300156
	VISIT DATE: 04/28/2020

NARRATIVE

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It was alleged that staff do not adequately supervise children during pick up. LPA toured facility during activities and conducted observations during outdoor activities and naptime. Although it was alleged that staff that are not supervising children during pick-up, LPA learned through interviews with children, staff and parents that staff are present when children are in care.

It was alleged that staff allow unauthorized individuals to pick up daycare children. During the investigation LPA reviewed children files and documents listing authorized individuals. Interviews with children, parents, reporting party and staff were conducted. Although it was alleged that staff allow unauthorized individuals to pick up children, LPA learned through interviews that facility has an authorization policy and procedure. LPA also learned through parent and staff interviews that parents communicate authorizations if changes or exceptions are made prior to pick up.

It was alleged that staff serve food that day care children are allergic to. During the investigation LPA toured kitchen and observed menus posted. LPA interviewed children, parents, reporting party and staff. LPA learned that staff have a list of children's individual allergy filed and posted in kitchen. LPA also observed containers used to distribute meals to classrooms also list child allergies. LPA learned through interviews that parents provide lunch and facility provide snacks.

Due to conflicting information obtained from interviews, observations and documents, LPA was unable to determine violations occurred. As a result, preponderance of evidence was not met and allegations are UNSUBSTANTIATED.

No Title 22 deficiencies cited. Due to COVID-19 closures, LPA mailed report and Appeal Rights.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2020

LIC9099 (FAS) - (06/04)

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