343616551-6-8-2022-03-CC-SDLA-CFENC8-20220615102018

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343616551
Report Date: 06/08/2022
Date Signed: 06/08/2022 04:24:48 PM

Substantiated

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
04/15/2022 and conducted by Evaluator Karyn Guerra

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20220415084459

FACILITY NAME:	COUNTRYHILL MONTESSORI		FACILITY NUMBER:	343616551
ADMINISTRATOR:	WALKER, REONNA		FACILITY TYPE:	850
ADDRESS:	7048 SUNRISE BLVD.		TELEPHONE:	(916) 728-2929
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY:	102	CENSUS: 53	DATE:	06/08/2022
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Anna Royal		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff are not adequately supervising day care children

Staff are not meeting day care child's diapering needs

INVESTIGATION FINDINGS:

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At 9:45 a.m. on Wednesday, June 8th, 2022, Licensing Program Analysts (LPAs) Karyn Guerra and Amanda Sutter met with Director Anna Royal, for the purpose of an unannounced complaint inspection and to deliver findings. It was alleged that staff are not adequately supervising day care children and staff are not meeting day care child's diapering needs. Throughout the course of the investigation, LPAs conducted interviews, made observations and reviewed files. Through interviews it was learned about a supervision concern regarding bathrooms. LPA Guerra and LPM De Luca informed the faciilty about supervision requirement during a previous inspection to the facility on 4/4/2022. During 2 subsequent inspections, LPA Guerra observed staff standing at the doorway to the outside while children were using the bathroom inside the classroom. Staff did not have a line of sight to see children in the bathroom. Staff were not in the restroom with children tending to their needs. During outdoor play time, LPA Guerra observed

Report continued on 9099-C.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022

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-20220415084459

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: COUNTRYHILL MONTESSORI	FACILITY NUMBER: 343616551
	VISIT DATE: 06/08/2022

NARRATIVE

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staff with their backs turned near the classroom building while children were on the grassy area of the back of the play yard. The preponderance of evidence standard has been met, and the allegations are substantiated.

Title 22 deficiencies are cited on the subsequent pages of this report. Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Director's signature on this report acknowledges receipt of these rights. This report was reviewed with the Director, Anna Royal, An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20220415084459

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: COUNTRYHILL MONTESSORI	FACILITY NUMBER: 343616551
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/08/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/09/2022 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation. This requirement was not met, as evidenced by:	1 2 3 4 5 6 7	Facility will conduct a training with staff regarding supervision requirement and will provide evidence to LPA by POC due date.
	8 9 10 11 12 13 14	Based on interview and observation, the facility did not visually supervise children using the the bathroom and did not provide adequate supervision to meet the child's needs. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
	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: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022

LIC9099 (FAS) - (06/04)

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