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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617232
Report Date: 05/24/2022
Date Signed: 05/24/2022 01:49:41 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
03/09/2022 and conducted by Evaluator Josiah Gathing
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220309082925
FACILITY NAME:TOWN AND COUNTRY PRESCHOOLFACILITY NUMBER:
343617232
ADMINISTRATOR:JESSICA TURNERFACILITY TYPE:
830
ADDRESS:2550 BELPORT LANETELEPHONE:
(916) 487-2036
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:22CENSUS: 4DATE:
05/24/2022
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Roberta ManleyTIME COMPLETED:
01:55 PM
ALLEGATION(S):
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Staff did not ensure the day care was free from insects

Day care is out of ratio

INVESTIGATION FINDINGS:
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On May 24, 2022, at approximately 10:20 AM, Licensing Program Analysts (LPAs) Josiah Gathing and Karyn Guerra met with Director Roberta Manley to deliver the findings of an unannounced complaint investigation. Throughout the investigation, LPAs made observations, conducted interviews, and reviewed records. Live insects were observed in the infant room in the sink near the changing table, behind and under the refrigerator, and on the floor near children's toys during multiple inspections. According to an interview with the Owner, Indira Bhatti, pest control is regularly scheduled. Owner provided a statement showing pest control payments in October and December of 2021, as well as January and March of 2022. Due to the persistent presence of live insects, LPAs determined that the current pest control regiment is insufficient to ensure sanitary conditions in the facility.
During complaint investigation in the facility on March 29, 2022, LPAs Josiah Gathing and Mai Lor observed the facility Staff 1 (S1) leaving the infant room and exiting the facility. This left Staff 2 (S2) alone in the infant room supervising five infants. LPAs made S2 aware that the infant room was out of ratio, and
CONT ON LIC9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah GathingTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
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 5
Control Number 03-CC-20220309082925
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: 05/24/2022
NARRATIVE
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another staff member (S3) was brought in from a different room to return the facility to compliance.
Therefore, based on observations, interviews, and records review the preponderance of evidence standard has been met, and the above 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. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
Upon receipt, facility representative shall post 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 LIC9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parents.

LPA discussed this report with facility representative and conducted an exit interview. LPA also provided appeal rights. Notice of site visit posted.

SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah GathingTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 03-CC-20220309082925
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: 05/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2022
Section Cited
CCR
101416.5(b)
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101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance.
This requirement was not met as evidenced by:
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A second staff member moved from a different classroom into the infant room during the investigation, returning the room to compliance. As a result, the POC was cleared during the investigation.
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Based on observation the facility did not comply with the above regulation as there was one teacher supervising five infants which poses Health, Safety, or Personal Rights risk to persons in care.
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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 LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah GathingTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 03-CC-20220309082925
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: 05/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2022
Section Cited
CCR
101238(a)(1)
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101238 Buildings and Grounds (a) The childare center shall be clean, safe, sanitary ... (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.
This requirement was not met as evidenced by:
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The facility will provide LPA with a service request form for pest control. Additionally, the facility will provide LPA with a plan of action for live insects whenever observed on the premesis. These requirements will met by the POC due date.
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Based on observation and record review, the facility did not comply with the above regulation as pest control visits were not frequent enough to keep live insects out of the infant room on a regular basis, which poses Health, Safety, or Personal Rights risk to persons in care.
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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 LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah GathingTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
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
03/09/2022 and conducted by Evaluator Josiah Gathing
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220309082925

FACILITY NAME:TOWN AND COUNTRY PRESCHOOLFACILITY NUMBER:
343617232
ADMINISTRATOR:JESSICA TURNERFACILITY TYPE:
830
ADDRESS:2550 BELPORT LANETELEPHONE:
(916) 487-2036
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:22CENSUS: 4DATE:
05/24/2022
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Roberta ManleyTIME COMPLETED:
01:55 PM
ALLEGATION(S):
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2
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Day care children are left unattended
INVESTIGATION FINDINGS:
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On May 24, 2022, at approximately 10:20 AM, Licensing Program Analysts (LPAs) Josiah Gathing and Karyn Guerra met with Director Roberta Manley to deliver the findings of an unannounced complaint investigation. Throughout the investigation, LPAs made observations and conducted interviews. LPAs observed children under direct supervision at all times on multiple days during the investigation. All staff interviewed reported that children are never left unattended in the facility.
Based on the information gathered throughout the course of this investigation there was not sufficient enough evidence nor information to support or dismiss the above allegations. Therefore, the finding for the above allegation was determined to be UNSUBSTANTIATED. An exit interview was conducted in which the report was reviewed and discussed with the Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah GathingTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 5