343620505-8-6-2019-03-CC-KPES-BEYJMG-20190812071016

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343620505
Report Date: 08/06/2019
Date Signed: 08/06/2019 11:53:52 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
05/20/2019 and conducted by Evaluator Kristal Goodell

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20190520102240

FACILITY NAME:	TOTS OF LOVE		FACILITY NUMBER:	343620505
ADMINISTRATOR:	COURTNEY WILLIAMS		FACILITY TYPE:	850
ADDRESS:	5619 MARCONI AVENUE		TELEPHONE:	(916) 689-8687
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	24	CENSUS: 13	DATE:	08/06/2019
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Keiana Palmer		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Supervision: Child sustained unexplained injuries while in care.
Personal Rights: Staff failed to meet the child's diapering needs.
Personal Rights: Staff failed to meet the child's dietary needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Goodell met with site director Keiana Palmer to deliver findings for the above allegations. During today's inspection, LPA observed 11 children outside with 1 staff member. LPA also observed 2 children inside with site director and a staff member on break.

It was alleged that a child sustained unexplained injuries while in care due to lack of supervision. During the investigation LPA toured the facility and conducted observations of staff and children both indoor and outdoors. LPA also obtained documents related to the complaint allegations such as incident reports and parent handbook. LPA learned that staff utilize an application to document child daily report and incidents. LPA conducted interviews with reporting party, children and staff. Through interviews, LPA learned that an incident occurred in the outdoor area, however was unable to determine if incident was due to lack of supervision.

Repor continues on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019

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-20190520102240

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: TOTS OF LOVE	FACILITY NUMBER: 343620505
	VISIT DATE: 08/06/2019

NARRATIVE

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It was also alleged that staff fail to meet children diapering needs. During the investigation LPA conducted observations of routines among children and staff. LPA also obtained documents related to the complaint allegations such as children's daily activities and schedule. LPA learned that parents are emailed updates and daily reports which include activities, behavior, meals and bathroom/diaper changes. Interviews with reporting party, children and staff were also conducted. LPA learned that an incident occurred when a child was due for a diaper change after naptime. However due to conflicting information obtained through interviews and documentation LPA was unable to determine if a violation occurred.

It was alleged that facility failed to give child lunch. During the investigation, LPA toured the facility and conducted observations during children meal times. LPA also obtained documents related to the complaint allegation such as parent handbook and menus. Interviews with reporting party, children and staff were conducted. LPA learned that parents provide lunch and facility provides breakfast, morning and afternoon snacks. Due to conflicting information obtained during observations, documentation and interviews, LPA was unable to determine if a violation occurred.

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 violations occurred. As a result, the allegations are UNSUBTANTIATED.

Report reviewed with Site Director and copies provided. Notice of site visit issued and must remain posted for 30 days. Appeal Rights also issued an discussed.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019

LIC9099 (FAS) - (06/04)

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