343617232-3-13-2020-03-CC-RSAA-BMVSA6-20200320134145

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343617232
Report Date: 03/13/2020
Date Signed: 03/13/2020 03:35:02 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
10/04/2019 and conducted by Evaluator Marea Behvand

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20191004094832

FACILITY NAME:	TOWN AND COUNTRY PRESCHOOL		FACILITY NUMBER:	343617232
ADMINISTRATOR:	JESSICA TURNER		FACILITY TYPE:	830
ADDRESS:	2550 BELPORT LANE		TELEPHONE:	(916) 487-2036
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95821
CAPACITY:	22	CENSUS: 8	DATE:	03/13/2020
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Roberta Manley		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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9

Neglect/Lack of Supervision
- day care child sustained injuries

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marea Behvand met with Director Roberta Manley to close the complaint regarding the allegation that due to a lack of supervision, a day care child (Child #1) sustained injuries while in care. On 03/13/2020 at 9:10 am, LPA toured the facility and a census count was taken of 8 toddlers and 2 staff members. The facility submitted an Unusual Incident Report (UIR) on October 4, 2019 after Child #1's parent (Parent #1) brought the injuries to the attention of facility staff. Investigator Sonia Boyal from the Department's Investigation Branch interviewed Parent #1, facility staff, day care children, parents of day care children, law enforcement, medical professionals, and conducted reviews of both police and medical reports. Based on the IB investigation and reports, LPA determined that although evidence shows that Child #1 was discovered to have burn injuries to the arm and armpit area as well as a red bruise onto the forehead, it is unclear if the injuries occurred at the facility. Since there was not a preponderance of evidence to prove or negate the allegation, the finding is UNSUBSTANTIATED.
An exit interview was conducted and a Notice of Site Visit was posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Marea Behvand	TELEPHONE: (916) 216-7793
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020

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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