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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343610257
Report Date: 12/12/2022
Date Signed: 12/12/2022 11:37:49 AM

Substantiated


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
11/07/2022 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20221107095333
FACILITY NAME:CADENCE EDUCATION LLC- WILLARDFACILITY NUMBER:
343610257
ADMINISTRATOR:MICHAEL, REBECCAFACILITY TYPE:
830
ADDRESS:640 WILLARD DR.TELEPHONE:
(916) 353-1031
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:46CENSUS: 28DATE:
12/12/2022
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Rebecca MichaelTIME COMPLETED:
11:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS Staff handled day care child in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
An unannounced subsequent complaint investigation inspection was conducted by Licensing Program Analyst Jennifer Velasco (LPA), who met with Director Rebecca Michael (D1). It was alleged that a personal rights violation had occurred; specifically, that a staff (S1) handled a child (C1) roughly.
During the investigation, LPA toured the facility, observed staff provide care to infants, reviewed facility documents and video footage, and conducted interviews with witnesses. Based on facility documents and video footage, as well as witness statements, the allegation is substantiated, that S1 handled C1 roughly, grabbing and rapidly moving C1, causing C1 to impact the wall with their head and body and fall. S1 then checked C1 for injury and notified facility management. No documented injury was sustained. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. A violation of the California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview was conducted. The Notice of Site Visit must be posted for 30 days. This is a Type A deficiency, hence, AB 633 Notification applies: Upon receipt, the facility must post this report, along with the notice of site visit, for 30 days for parents to view. Facility staff must inform the parents/guardians of children in care at the facility and inform the parents/guardians of children newly enrolled at the facility during the next 12 months and document this via form LIC 9224 Acknowledgement of Receipt of Licensing Reports. Facility staff must retain the signed LIC 9224 forms in each child's file through the child's enrollment and for a period of at least three years after the child is no longer enrolled in the facility.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer VelascoTELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
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 2
Control Number 03-CC-20221107095333
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: CADENCE EDUCATION LLC- WILLARD
FACILITY NUMBER: 343610257
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/13/2022
Section Cited
CCR
101223(a)(3)
1
2
3
4
5
6
7
101223 Personal Rights (a) The licensee shall ensure each child is accorded the following personal rights: (3) 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 ...
1
2
3
4
5
6
7
Director (D1) stated they will develop a detailed written plan for ensuring all staff have been sufficiently trained and supervised such that they provide for children's personal rights and do not handle children roughly. D1 stated they will email this detailed written plan to LPA by POC due date.
8
9
10
11
12
13
14
 This requirement was not met as evidenced by witness statements, facility documents, and video footage that showed a staff (S1) handled a child (C1) roughly, causing C1 to impact the wall with their head and body and fall. This constitutes an immediate threat to the health and safety of children in care.
8
9
10
11
12
13
14
LPA email: jennifer.velasco@dss.ca.gov
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: Natalie DunawayTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer VelascoTELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2