340320010-3-24-2021-03-CC-MMAA-BZLVMW-20210330163414

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 340320010
Report Date: 03/24/2021
Date Signed: 03/24/2021 01:29:08 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
02/23/2021 and conducted by Evaluator Alize Tillery

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210223160225

FACILITY NAME:	TOT TOWN CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	340320010
ADMINISTRATOR:	NANCY J. ENNIS		FACILITY TYPE:	850
ADDRESS:	2001 10TH STREET		TELEPHONE:	(916) 443-3156
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95818
CAPACITY:	75	CENSUS: 58	DATE:	03/24/2021
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Nancy Ennis		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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Personal Rights: Staff member inappropriately handled day care child.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alize Tillery met with Director Nancy Ennis, to deliver the complaint findings for the above allegation. Due to the COVID-19 pandemic, the unannounced visit was conducted via FaceTime. On March 24th, 2021, at approximately 10:20 AM, LPA observed 58 children in care, supervised by 7 staff.
It was alleged that on one occasion, a staff member inappropriately handled a child in care. The LPA's investigation revealed that a child was having a difficult time while in care and resulted in Staff #1 forcefully grabbing the child as a redirection method. Consistent statements were made during interviews with the reporting party, staff members and child.
Based on the evidence obtained, the allegation is substantiated meaning that the preponderance of evidence standard has been met. See subsequent page for Type A deficiency, cited for a Personal Rights Violation.
An exit interview was conducted with Ms. Ennis. A copy of this report, the appeal rights and Notice of Site Visit will be emailed to Ms. Ennis at tottowninc@att.net, and sent via certified mail to 2001 10th St.
Ms. Ennis understands that the Notice of Site visit must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

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

Control Number 03-CC-20210223160225

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: TOT TOWN CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 340320010
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/24/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/24/2021 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or	1 2 3 4 5 6 7	Director stated that all staff will participate and watch the Department's training video on Personal Rights. Director will start training staff on Personal Rights annually.
	8 9 10 11 12 13 14	toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by: interviews revealed that a staff member inappropriately grabbed and pulled child's arm as a method of redirection. This is an immediate danger to the child's health and safety.	8 9 10 11 12 13 14	To correct the deficiency, Director will provide a statement within 24 hours, stating she has taken the training and what she has learned from it. All staff will also take the training and submit their statement as proof by 03/30/2021.
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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: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 03-CC-20210223160225

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: TOT TOWN CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 340320010
	VISIT DATE: 03/24/2021

NARRATIVE

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Based on LPA's interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 12) are being cited on the attached LIC 9099-D.

Due to the issuance of a Type A Citation during today's inspection, a copy of this Licensing Report must be given to each existing parent by the end of today or next day child is in care, and to the parent of children enrolled over the next 12 months. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each parent and kept in each child's file.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

LIC9099 (FAS) - (06/04)

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