343617697-5-9-2019-03-CC-SOGO-BCUPW2-20190605114000

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343617697
Report Date: 05/09/2019
Date Signed: 05/09/2019 11:15:31 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
02/21/2019 and conducted by Evaluator Charlotte Baney

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20190221111706

FACILITY NAME:	BOWLING GREEN MCCOY PRESCHOOL		FACILITY NUMBER:	343617697
ADMINISTRATOR:	SUZANNE GONZALES		FACILITY TYPE:	850
ADDRESS:	4211 TURNBRIDGE DRIVE		TELEPHONE:	(916) 433-5426
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	28	CENSUS: 18	DATE:	05/09/2019
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Mrs. Vo		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility staff violated daycare child(ren)'s personal rights.

INVESTIGATION FINDINGS:

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Licensing Program Analyst Charlotte Baney conducted a follow up complaint inspection at the facility and met with Teacher Vo. During today's inspection there were 18 preschool aged children present being supervised by 4 staff members. LPA Baney interviewed the staff, children, parents and the reporting party during the investigation.
Allegation is regarding how Staff #1 violated daycare children’s personal rights. Based on consistent statements made during interviews, LPA learned that Staff #1 has pulled a child by their ear in a rough manner, has hit a child on the forearm in a rough manner and makes inappropriate verbal statements towards children.
Based on the evidence obtained through interviews and observations, LPA determined that children’s personal rights were violated. The allegation is substantiated, meaning the preponderance of evidence standard has been met.

One Type A deficiency was cited on the attached LIC 9099D. Upon receipt of a Type A citation, licensee shall post and provide copies of the LIC 9099 D for parents/guardians of children in care and for parents/guardians of newly enrolled children for the next 12 months. Licensee must also keep the signed LIC 9224, acknowledging receipt of LIC 9099 D in each child's file.

Exit interview was conducted, appeal rights were provided, and Notice of Site Visit was posted. The Director understands it must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Charlotte Baney	TELEPHONE: (916) 216-7791
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

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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Control Number 03-CC-20190221111706

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: BOWLING GREEN MCCOY PRESCHOOL	FACILITY NUMBER: 343617697
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/09/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/10/2019 Section Cited CCR 101223(A)3	1 2 3 4 5 6 7	Personal Rights. (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature... This requirement was not met as evidenced by: Consistent statements made during interviews that Staff #1 has hit a child on the forearm in a rough manner, also pulled a child by their ear and used verbal statements that are inappropriate towards children. This poses an immediate health and safety risk to children in care.	1 2 3 4 5 6 7	Districts Facility Licensing Specialist, Ahisha Lewis is not available to give LPA a Plan of Correction. The District will submit a Plan of Correction with in 24 hours to LPA. charlotte.baney@dss.ca.gov
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Sharon Ogbodo	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Charlotte Baney	TELEPHONE: (916) 216-7791
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

LIC9099 (FAS) - (06/04)

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