343616736-10-27-2020-03-CC-BENN-BUSNFW-20201027102609

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343616736
Report Date: 10/26/2020
Date Signed: 10/27/2020 07:24:25 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
10/05/2020 and conducted by Evaluator Jeremey McClain

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20201005114738

FACILITY NAME:	CALVARY CHRISTIAN PRESCHOOL		FACILITY NUMBER:	343616736
ADMINISTRATOR:	ARRIAGA, SUSAN		FACILITY TYPE:	850
ADDRESS:	4911 47TH AVENUE		TELEPHONE:	(916) 393-3633
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95824
CAPACITY:	67	CENSUS:	DATE:	10/26/2020
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Susan Arriaga		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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A teacher inappropriately grabbed a child by their neck.
The facility is operating out of Ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jeremey McClain met with Director Susan Arriaga via Zoom Video Conference to close a complaint investigation. LPA observed six children supervised by one teacher in Room 3. It was alleged that a teacher inappropriately grabbed a child by the neck, and that the facility was operating out of ratio. During the investigation, LPA conducted interviews with staff and parents, reviewed rosters and sign-in/out sheets, and made observations at the facility. LPA determined that the evidence gathered did not corroborate the allegations. The preponderance of evidence standard has not been met, therefore, the allegations are determined to be unsubstantiated.

There were no Title 22 deficiencies during today’s investigation. LPA reviewed this report with Director and provided a Notice of Site Visit that must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2020

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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