343617232-6-10-2020-03-CC-RSAA-BQVL8W-20200624083235

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343617232
Report Date: 06/10/2020
Date Signed: 06/10/2020 10:12:08 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
03/05/2020 and conducted by Evaluator Marea Behvand

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20200305095513

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: 5	DATE:	06/10/2020
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Indira Bhatti and Roberta Manley		TIME COMPLETED:	02:58 PM

ALLEGATION(S):

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Supervision - due to a lack of supervision a day care infant was bitten on cheek causing injury.

Qualifications - unqualified staff are providing care to infants without the direct supervision of a teacher.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marea Behvand contacted Indira Bhatti (Owner) and Roberta Manley (Director) to deliver the complaint finding for the allegation listed above by tele-investigation. Due to the COVID-19 pandemic, LPA is conducting the tele-investigation with the Owner and Director via FaceTime. During today's FaceTime call, LPA requested to tour the facility and observed 3 napping toddlers supervised by 1 teacher staff and 1 aide staff in the toddler room and 2 napping infants supervised by 1 teacher staff in the infant room.
LPA determined that in the matter concerning the allegation that due to a lack of supervision a day care infant was bitten on the cheek resulting in injury, the allegation is SUBSTANTIATED. According to interviews, LPA discovered that as Aide Staff #1 was leading a group of toddlers through the infant room, towards the playground, visual sight was momentarily lost of Toddler #1, allowing the child enough time to crouch down and bite Infant #1 on the cheek who was lying on a nearby blanket. Another factor contributing to the inabiility to prevent the incident was the body positioning of Teacher Staff #1, as her back was turned to Infant #1, while diapering another infant on the changing table.

Continued on 9099- C…

Substantiated

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: 06/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 03-CC-20200305095513

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: TOWN AND COUNTRY PRESCHOOL	FACILITY NUMBER: 343617232
	VISIT DATE: 06/10/2020

NARRATIVE

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…Continued from 9099.

LPA determined that in the matter concerning the allegation that unqualified staff are providing care to infants, the allegation is SUBSTANTIATED. LPA discovered during interviews that on several occasions unqualified staff are left alone to care for infants. One occurrence is evidenced the day Infant #1 was by bitten by Toddler #1, when Aide #1 lead a group of children to the playground unaccompanied by any qualified staff. LPA also discovered that Aide Staff #2 is regularly left to care for infants alone and that Aide Staff #3 from the Preschool side has on occasion also supervised infants alone while Aide Staff #2 left to take a bathroom break.

Based on interviews conducted throughout the investigation, it was determined that the preponderance of evidence standard has been met; therefore, both the allegations are found to be SUBSTANTIATED.

California Code of Regulations Title 22 are being cited on the attached LIC 9099-D.

Upon receipt, Director shall post TYPE A deficiencies and provide copies of this licensing report to parents/guardians of children who are currently enrolled as well as parents/guardians of children newly enrolled at the facility during the next 12 months.

Parents/guardians must acknowledge receipt of this report and citation by signing a LIC 9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS.” A copy of this form should be placed in each child file upon receipt from parent.

An exit interview was conducted and both Appeal Rights and a Notice of Site Visit was provided to Director via email. Please print out the Notice of Site Visit and post for 30 days from the date on the notice.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Marea Behvand	TELEPHONE: (916) 216-7793
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2020

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20200305095513

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: TOWN AND COUNTRY PRESCHOOL	FACILITY NUMBER: 343617232
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/10/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/15/2020 Section Cited CCR 101429(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision for Infants. (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee will have a mandatory meeting reminding staff that 100% visual supervision is required at all times. Licensee will submit signatures of attendees to LPA by Monday, June 15, 2020.
	8 9 10 11 12 13 14	Based on interviews and documentation review, LPA determined that licensee failed to ensure the constant direct visual observation and supervision by staff which resulted in Infant #1 being bitten on the cheek when Teacher Staff #1 had their back to the infant while diaper changing another infant in care. This lack of supervision/visual observation poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
Type A 06/15/2020 Section Cited CCR 101416.3(b)	1 2 3 4 5 6 7	Infant Care Aide Qualifications and Duties.(b) An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1). This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee expressed experiencing a recent shortage of her qualified staff but will continue to search for replacements. Licensee will submit a sample schedule of staffing coverage necessary for a typical day (including breaks) for the infant and toddler room to LPA by Monday, June 15, 2020.
	8 9 10 11 12 13 14	Based on interviews, LPA determined that licensee failed to ensure that infant care aides only work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1) pertaining to napping infants. During interviews, LPA discovered that on several occasions licensee failed to ensure that only staff qualified to care for infants were left alone to do so. This poses a health and safety risk to infants in care.	8 9 10 11 12 13 14

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: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Marea Behvand	TELEPHONE: (916) 216-7793
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2020

LIC9099 (FAS) - (06/04)

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