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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340320032
Report Date: 07/26/2022
Date Signed: 07/26/2022 12:11:39 PM

Substantiated


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
05/20/2022 and conducted by Evaluator Alize Tillery
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220520152119
FACILITY NAME:BRADSHAW CHRISTIAN SCHOOLFACILITY NUMBER:
340320032
ADMINISTRATOR:SARMIENTO, LEAHFACILITY TYPE:
850
ADDRESS:8324 BRADSHAW ROADTELEPHONE:
(916) 520-7223
CITY:SACRAMENTOSTATE: CAZIP CODE:
95829
CAPACITY:239CENSUS: 121DATE:
07/26/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:SARMIENTO, LEAHTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Lack of supervision resulting in child sustaining injuries while in care.
Parent was not notified of injuries.
INVESTIGATION FINDINGS:
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On Tuesday, July 26, 2022, Licensing Program Analyst (LPA) Alize Tillery met with Director, Leah Sarmiento, to conduct an unannounced inspection to conclude the complaint investigation regarding the above allegations. Upon arrival, the census was 121 children, supervised by 21 staff.

During the inspection, LPA reviewed correspondences, incident reports and conducted interviews with reporting party, parents, staff and children. It was alleged that a lack of supervision resulted in children sustaining injuries. During staff interviews and a review of correspondences, it was revealed that child #1 and child #2 sustained an injury while in care, on two different occasions, and staff could not recall how the injuries happened. During LPA visit on 7/26/2022, at approximately 10:10 AM, from the office - LPA observed children in the outdoor play area. LPA observed a lack of supervision in that there were three staff members that did not have their eyes on the children, while they communicated amongst each other in the corner of the playground. Director stated that during outdoor play, classrooms are sometimes combined and that they still ensure they maintain ratio. Though ratio is maintained, LPA observed a lack of supervision.
Report continues...
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
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 4
Control Number 03-CC-20220520152119
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: BRADSHAW CHRISTIAN SCHOOL
FACILITY NUMBER: 340320032
VISIT DATE: 07/26/2022
NARRATIVE
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 Director is willing to review the outdoor play schedule to ensure there is a 100% supervision and visual of the children at play. A lack of supervision poses an immediate risk to children in care, therefore the allegation is Substantiated.

It was also alleged that a parent was not notified of their child’s injuries. Based on record review, an incident report was created on 9/24/21, regarding Child #1's injury, an injury that occurred on 9/23/21. The incident report was created after the guardian of Child #1, brought the injury to staff member's attention. The incident report, created by Staff #2, reveals that Child #1 informed Staff #1 of the injury, however Staff #1 did not notify Guardian of the incident/injury the day that it occurred. The incident report reveals that Staff #1 contacted guardian on 9/24/21 to discuss the incident. This poses a potential risk to children in care, in that a child’s authorized representative is to be notified if a child sustains an injury; therefore, the allegation is Substantiated.


Based on information obtained through record review, interviews and LPA observations, the preponderance of evidence standard has been met, therefore the allegations are found to be SUBSTANTIATED. A Type A deficiency is being cited for a Lack of Supervision and a Type B deficiency is being cited for Reporting Requirements. See 809D for deficiencies cited.

Upon receipt of a Type A deficiency, licensee shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/guardians of children newly enroll at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC 9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.
SUPERVISOR'S NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20220520152119
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: BRADSHAW CHRISTIAN SCHOOL
FACILITY NUMBER: 340320032
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
07/27/2022
Section Cited
CCR
101226(a)
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(a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken.
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Director will review reporting requirements with staff. Director will submit a correspondence to LPA Tillery stating that the training has been conducted.
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This requirement was not met, evidenced by:
LPA observed an incident report that states that the guardian of Child #1 was not notified of the injury Child #1 received on 9/23/21. The incident report was created on 9/24/21, after the guardian brought the injury to staff members attention .
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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: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20220520152119
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: BRADSHAW CHRISTIAN SCHOOL
FACILITY NUMBER: 340320032
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
07/27/2022
Section Cited
CCR
101229(a)(1)
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(a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Director will attempt to create a new outdoor play schedule but will conduct a training with staff on Supervision. Director will submit proof to LPA Tillery that the training has been conducted.
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This requirement was not met, evidenced by: Correspondences revealed that staff did not see how Child #1/Child #2 received their injuries while in care.
On 7/26, LPA observed children playing outdoors, while three staff members were congregated in a corner communicating, lacking visual observation of the children.
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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: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC9099 (FAS) - (06/04)
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