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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343610146
Report Date: 02/21/2023
Date Signed: 02/22/2023 01:41:41 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
01/17/2023 and conducted by Evaluator Mandie Goodwin
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230117114610
FACILITY NAME:4TH R - WITTER RANCHFACILITY NUMBER:
343610146
ADMINISTRATOR:THAO, CHENGFACILITY TYPE:
840
ADDRESS:3790 POPPY HILL WAYTELEPHONE:
(916) 566-1559
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY:130CENSUS: 0DATE:
02/21/2023
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Mahalia Mitchell-Olson TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Teacher did not allow a student to eat their lunch
Teacher pulled student
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On February 22nd, 2023 Licensing Program Analyst (LPA) Mandie Goodwin met with Facility Representative Mahalia Mitchell-Olsen to close a complaint investingation and deliver findings. There were no children in care at time of arrival.

It was alleged that a staff #1 had not allowed a student to eat their lunch and that a staff #1 had pulled a child. During the course of the investigation LPA conducted interviews. Through interviews it was learned that children are provided meal times at 2:00 in the cafeteria and again at 4:30 in the classroom. Staff stated that they try to encourage children to eat during these times, but if a child is hungry later they will provide a snack. One interview stated that children can be pulled apart if they are fighting, however there was no evidence that a child was pulled for any other reason. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 deficiences are cited. Exit interview was conducted with Facility Representative and appeal rights were provided. Notice of site visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Mandie GoodwinTELEPHONE: (916) 639-2867
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
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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