<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340320034
Report Date: 08/14/2024
Date Signed: 08/14/2024 12:02:19 PM


Document Has Been Signed on 08/14/2024 12:02 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:GREAT BEGINNINGS CHILD DEVELOPMENT CNTRFACILITY NUMBER:
340320034
ADMINISTRATOR:SIBERT,KELLY&BROOKS,LENAYFACILITY TYPE:
850
ADDRESS:2791 24TH STREETTELEPHONE:
(916) 456-4642
CITY:SACRAMENTOSTATE: CAZIP CODE:
95818
CAPACITY:57CENSUS: 25DATE:
08/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Stephanie Levenhagen TIME COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/14/2024 at 9:00a.m., Licensing Program Analysts (LPA) Pa Dao Vang met with Director, Stephanie Levenhagen, for a Case Management inspection regarding an Unusual Incident Report called in to our regional office on 8/1/2024. Upon arrival, LPA observed 25 preschoolers supervised by 3 staff.

It was reported on 7/25/2024 approximately at 11:45a.m., C1 was fell from the stairs in the playhouse loft area located in the Blue classroom. C1 broke the radius and ulna bones on the right arm. Parent were called immediately and picked up C1 to the hospital.

During today's inspection LPA toured the facility, made observations, conducted interviews, and inspected the classroom. LPA inspected the loft area where the incident took place. Through the staff and children’s interviews, LPA learned there was one Teacher cleaning the in the sink area across the classroom from the loft area. According to the Teacher, she didn’t observe the incident because she was cleaning the paint brushes in the sink, but heard “Bump-bump and crying.” She then attended to C1 sitting the bottom of the stairs with the right arm broken. Throughout the course of the investigation, there are a supervision violation in which the teacher does not have visual supervise in loft area during the incident.

According to the Director, it was an accident. She beliefs that C1 fell because of the accident and not supervision.

Based on LPA observations and interviews conducted, a deficiency is being cited on page LIC809-D in accordance with the California Code of Regulations, Title 22.

Continue report on LIC809-C...
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Dao VangTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: GREAT BEGINNINGS CHILD DEVELOPMENT CNTR
FACILITY NUMBER: 340320034
VISIT DATE: 08/14/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA informed the Director, Stephanie Levenhagen, that this report dated August 14, 2024, documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA informed the Director to provide a copy of this licensing report dated August 14, 2024, that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal Rights given. This report was reviewed with Director, Stephanie Levenhagen. A notice of site visit was provided to be posted for 30 days. Appeal rights provided.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Dao VangTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 08/14/2024 12:02 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827


FACILITY NAME: GREAT BEGINNINGS CHILD DEVELOPMENT CNTR
FACILITY NUMBER: 340320034

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
08/15/2024
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
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 ... Supervision shall include visual observation. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director stated the loft is closed and will not be used. Director will retrain staff and will email the agenda with sign-in sheet to LPA on or before the POC due date.
8
9
10
11
12
13
14
 Based on staff and children's statements, the facility did not comply with the section cited above when the teacher does not have visual supervison when C1 fell from the loft stairs sustaining the injuries. This is an immediate risk to health, safety, and or personal rights of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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 LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Dao VangTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3