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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617651
Report Date: 09/18/2019
Date Signed: 09/18/2019 03:49:26 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
08/30/2019 and conducted by Evaluator Jan Hoshida
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20190830140054
FACILITY NAME:CORDOVA GARDENS PRESCHOOLFACILITY NUMBER:
343617651
ADMINISTRATOR:ALTOP, BYANCAFACILITY TYPE:
850
ADDRESS:2400 DAWES STREETTELEPHONE:
(916) 635-4301
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY:24CENSUS: 17DATE:
09/18/2019
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Byanca AltopTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Staff are not providing adequate supervision due to being on cell phone(s).
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Jan Hoshida, made an unannounced inspection of the facility and met with Lead Teacher, Byanca Altop, to deliver findings and conclude the complaint investigation of the above allegation. Upon arrival, LPA observed 17 children with three staff members.

It was alleged that staff are not providing adequate supervision due to being on cell phone(s).

During the investigation, LPA conducted interviews and observed routines among children and staff. LPA also obtained documents related to the complaint allegation. LPA learned that center protocol is that staff are not allowed to use their cell phones for personal use but use their cell phones to play music or use iPads for documentation purpose.

However due to conflicting information obtained through interviews and documentation, LPA was unable to determine if a violation occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan HoshidaTELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
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 2
Control Number 03-CC-20190830140054
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: CORDOVA GARDENS PRESCHOOL
FACILITY NUMBER: 343617651
VISIT DATE: 09/18/2019
NARRATIVE
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Based on the investigation conducted, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. As a result, the allegation is UNSUBSTANTIATED.

Report reviewed with Director and copies were provided. Notice of Site Visit was issued, and Director understands that it must remain posted for 30 days. Appeal Rights were also provided and discussed.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan HoshidaTELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2