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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343618478
Report Date: 07/26/2019
Date Signed: 07/26/2019 02:09:42 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
06/25/2019 and conducted by Evaluator Rosie Pitts
COMPLAINT CONTROL NUMBER: 03-CC-20190625151139
FACILITY NAME:ENGLISH, MARIAFACILITY NUMBER:
343618478
ADMINISTRATOR:ENGLISH, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 348-7430
CITY:SACRAMENTOSTATE: CAZIP CODE:
95842
CAPACITY:14CENSUS: 11DATE:
07/26/2019
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Maria EnglishTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Lack of supervision resulting in child sustaining injuries while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Rosie Pitts and Tanya Washington met with Licensee Maria English to deliver findings regarding the above allegation. Upon arrival, LPAs observed 11 daycare children being supervised by Licensee and assistant.
During the investigation, LPAs toured the facility, conducted observations, interviews with staff, children and parents. LPAs also reviewed facility files and obtained records relevant to the complaint allegation.

Regarding the complaint, “Lack of supervision resulting in child sustaining injuries”, LPAs received conflicting information from interviews conducted. RP states that the child was not being supervised when they sustained three separate injuries. Injuries sustained did not require professional medical attention or an Unusual Incident Report for Child Care Licensing.
Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Rosie PittsTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2019
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-20190625151139
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: ENGLISH, MARIA
FACILITY NUMBER: 343618478
VISIT DATE: 07/26/2019
NARRATIVE
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Staff interviews indicate that the child was being supervised when two injuries occurred, and there is no evidence of a third injury occurring. LPAs were unable to determine if any of the injuries occurred due to a lack of supervision.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur at the facility; therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a Notice of Site Visit was posted. Appeal rights were provided and discussed.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Rosie PittsTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2