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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340321756
Report Date: 01/13/2022
Date Signed: 01/14/2022 06:56:12 AM



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
10/22/2021 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20211022100158
FACILITY NAME:PARKWAY PRESCHOOLFACILITY NUMBER:
340321756
ADMINISTRATOR:MORENO (WASSON), VICKYFACILITY TYPE:
850
ADDRESS:4720 FOREST PARKWAYTELEPHONE:
(916) 553-4210
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:48CENSUS: 0DATE:
01/13/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Yolanda & Noel EstacioTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff denied day care child access to drinking water.
Day care child's diapering needs were not met.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Gagandeep Singh and Arianna Manabat met with facility representatives, Yolanda and Noel Estacio, to deliver the findings for above allegations. Purpose of the inspection was explained.

The facility also self reported that a parent filled a complaint with the school district alleging a staff member pushing a child and handling the child inappropriately. During the investigation, it was found that the alleged staff member was on administrative leave. During the investigation, LPA inspected the facility multiple times, interviewed the available staff and interviewed the parent. During the investigation, LPA did not receive any evidence from the facility to oppose the allegation. During the interview with Noel, it was found that the alleged staff member held the water from a child, because the child was spilling the water. It was found that child was left in soiled diaper. Based on LPAs observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022
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-20211022100158
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: PARKWAY PRESCHOOL
FACILITY NUMBER: 340321756
VISIT DATE: 01/13/2022
NARRATIVE
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A Type “A” violation (see continuation) was issued today. The center is informed to provide a copy of the Evaluation Report and the Type “A” Deficiency cited to the parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report and appeal rights were provided and reviewed with the licensee. Notice of Site Visit shall remain posted for 30 days.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20211022100158
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: PARKWAY PRESCHOOL
FACILITY NUMBER: 340321756
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/14/2022
Section Cited
CCR
101223(a)(3)
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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:
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The accused staff is not working at this facility at this time. The facility has training scheduled for all staff.
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interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by interviews it was found that there was a staff member who handled water from a chil, and child's toileting needs were not met. This poses an immediate health and safety risk to children in care.
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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 MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
10/22/2021 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20211022100158

FACILITY NAME:PARKWAY PRESCHOOLFACILITY NUMBER:
340321756
ADMINISTRATOR:MORENO (WASSON), VICKYFACILITY TYPE:
850
ADDRESS:4720 FOREST PARKWAYTELEPHONE:
(916) 553-4210
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:48CENSUS: 0DATE:
01/13/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:YolandaTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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9
Staff handled day care child in rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Gagandeep Singh and Arianna Manabat met with facility representative, Yolanda, to deliver the findings for above allegations. Purpose of the inspection was explained.

The facility also self reported that a parent filled a complaint with the school district alleging a staff member not providing water to a child. During the investigation, it was found that the alleged staff member was on administrative leave. During the investigation, LPA inspected the facility multiple times, interviewed the available staff and interviewed the parent. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4