343614437-9-10-2020-03-CC-RSAA-BU5US9-20201006154958

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343614437
Report Date: 09/10/2020
Date Signed: 09/10/2020 07:29:56 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
07/22/2020 and conducted by Evaluator Tanya Washington

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20200722092543

FACILITY NAME:	KOHLER PRESCHOOL		FACILITY NUMBER:	343614437
ADMINISTRATOR:	HUA LOR		FACILITY TYPE:	850
ADDRESS:	4004 BRUCE WAY		TELEPHONE:	(916) 566-1850
CITY:	NORTH HIGHLANDS	STATE: CA	ZIP CODE:	95660
CAPACITY:	72	CENSUS: 0	DATE:	09/10/2020
		ANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Elizabeth Cunnion		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff did not seek emergency services for child in care.
Staff did not inform authorized representative of incident involving child.
Staff makes inappropriate comments in the presence of day care children.
Staff engages in unsanitary practices in presence of children.

INVESTIGATION FINDINGS:

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Licensing Program Analyst Tanya Washington contacted Program Director Elizabeth Cunnion to deliver complaint findings for the allegations mentioned above. Due to COVID-19 pandemic, LPA is conducting the meeting via phone call. The facility has been closed since March 16, 2020 for in-person classes.

Reporting Party alleged that the facility has failed to seek emergency services for a child who had a seizure in care, Reporting Party also alleged that the facility staff failed to inform the child’s authorized representative of the seizure incident. Reporting Party was unable to provide details such as the child’s name, when the child attended the facility or when the incident occurred.

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2020

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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Control Number 03-CC-20200722092543

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: KOHLER PRESCHOOL	FACILITY NUMBER: 343614437
	VISIT DATE: 09/10/2020

NARRATIVE

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During the interviews with related parties LPA received conflicting information, Staff indicated that there was a child in care approximately two years ago who had two silent seizure incidents. Both incidents were reported to the child’s authorized representative and the episodes did not require administration of medication per child's medical plan. LPA was unable to obtain a copy of the child's medical plan due to Records Department closure due to COVID-19.

Reporting Party also alleged that Staff #1 makes inappropriate comments in the presence of children and shaves dead skin cells from their feet and leave it where children sit and play. Based on interviews with staff LPA received conflicting information about alleged staff making inappropriate comments. Staff #1 indicated that they have used a PedEgg in the area of the class where children do not play and the PedEgg had a catcher to collect dead skin.

LPA determined that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred; therefore, the allegations are determined to be unsubstantiated.

In lieu of Program Director’s signature, LPA Washington is e-mailing the report with a read receipt request.

Appeal rights were sent in the e-mail to Program Director. The notice of site visit is not provided since the school is still under mandated COVID19 closure.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2020

LIC9099 (FAS) - (06/04)

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