340320736-2-2-2022-03-CC-SDLA-CCYP2U-20220329105632

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 340320736
Report Date: 02/02/2022
Date Signed: 02/02/2022 12:11:08 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
01/28/2022 and conducted by Evaluator Katrina Owens

COMPLAINT CONTROL NUMBER: 03-CC-20220128081646

FACILITY NAME:	POPPY PATCH-PHASE II		FACILITY NUMBER:	340320736
ADMINISTRATOR:	DOROTHEA JACKSON		FACILITY TYPE:	850
ADDRESS:	9645 BUTTERFIELD		TELEPHONE:	(916) 845-6033
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95827
CAPACITY:	60	CENSUS: 11	DATE:	02/02/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Kelly Pettigrew - Head Teacher		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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RATIO: - Facility is operating out of ratio.
FOOD SERVICES: Facility does not have an adequate food supply.

INVESTIGATION FINDINGS:

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An unannounced inspection was conducted today, Wednesday, February 2, 2022 by Licensing Program Analyst Owens and Blesi. Present at time of inspection were 2 staff and 11 preschool children. LPA's met with Lead Teacher Kelly Pettigrew. Interviews and a tour of the facility were conducted.

Based on conflicting interviews, the allegation that the facility is operating out of ratio is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur.

Based on interviews and a tour of the preschool pantry and the preschool kitchen the LPA's observed a low food supply, however the pantry did have enough food for the current number of children present. Therefore, there is not a preponderance of evidence to prove the allegation does or does not occur. The allegation is unsubstantiated.

An exit interview was conducted. Appeal rights were given and explained to the Lead Teacher, Kelly Pettigrew. A Notice of Site Visit was posted during this inspection.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina Owens	TELEPHONE: 916-263-6280
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022

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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