343616158-11-21-2019-03-CC-KPES-BJ6L85-20191122073119

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343616158
Report Date: 11/21/2019
Date Signed: 11/21/2019 11:32:46 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
09/09/2019 and conducted by Evaluator Karyn Guerra

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20190909150632

FACILITY NAME:	SACRAMENTO ADVENTIST ACADEMY		FACILITY NUMBER:	343616158
ADMINISTRATOR:	SHARI THOMPSON		FACILITY TYPE:	850
ADDRESS:	5601 WINDING WAY		TELEPHONE:	(916) 481-2300
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	24	CENSUS:	DATE:	11/21/2019
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Shari Thompson		TIME COMPLETED:	11:55 AM

ALLEGATION(S):

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Child was inappropriately disciplined

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Karyn Guerra conducted an unannounced complaint inspection to the facility to deliver findings. The purpose of the visit was explained. Census consisted of 19 children supervised by 3 staff. It was alleged that a child was inappropriately disciplined. During the course of the investigation, LPA conducted interviews, observations, and gathered documentation. Director stated that redirection, discussion, and taking a break are used as forms of discipline at the facility. Director stated that breaks taken are only for a short period of time, not exceeding 10 minutes. Due to conflicting information received, the above allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 216-7796
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2019

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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