340306386-1-24-2020-03-CC-RSAA-BM63HQ-20200225171612

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 340306386
Report Date: 01/24/2020
Date Signed: 01/24/2020 12:49:00 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
12/02/2019 and conducted by Evaluator Marea Behvand

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20191202095302

FACILITY NAME:	OAK PARK PRESCHOOL		FACILITY NUMBER:	340306386
ADMINISTRATOR:	WILLIAMS HOWELL, DIJANAE		FACILITY TYPE:	850
ADDRESS:	3500 2ND AVENUE		TELEPHONE:	(916) 451-9498
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95817
CAPACITY:	34	CENSUS: 17	DATE:	01/24/2020
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Pam Morgan		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Personal Rights
- Facility Staff caused injuries to daycare children while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marea Behvand met with Director Pam Morgan to close a complaint investigation pertaining an alleged violation of Personal Rights.

Throughout the investigation, LPA conducted interviews with Director, staff, parents, children, and obtained relevant documents.

Upon further investigation, LPA determined that in the matter concerning the allegation that Facility Staff caused injuries to daycare children while in care, the allegation is UNSUBSTANTIATED.

Based on conflicting information obtained through interviews, LPA was unable to determine whether the injury was caused at the facility.
Although the allegation may be valid or happened, there is not a preponderance of evidence to prove or disprove. An exit interview was conducted and a Notice of Site Visit was posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Marea Behvand	TELEPHONE: (916) 216-7793
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

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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