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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343620505
Report Date: 10/14/2021
Date Signed: 10/15/2021 08:56:10 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
07/21/2021 and conducted by Evaluator Karyn Guerra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210721155753
FACILITY NAME:TOTS OF LOVEFACILITY NUMBER:
343620505
ADMINISTRATOR:VANESSA GRANTFACILITY TYPE:
850
ADDRESS:5619 MARCONI AVENUETELEPHONE:
(916) 689-8687
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:24CENSUS: 7DATE:
10/14/2021
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Valyncia Johnson, Mercedes EmersonTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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9
Daycare children sustained injuries while in care

Children wandered from the facility
INVESTIGATION FINDINGS:
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At 2:45 p.m. on Thursday, October 14th, 2021, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Valyncia Johnson, for the purpose of a complaint inspection to deliver findings. It was alleged that daycare children sustained injuries while in care and that children wandered from the facility. Throughout the course of the investigation, LPA conducted interviews and made observations. There was a concern of children sustaining injuries from another child. LPA observed Staff and outside helpers assisting child during facility visits. The facility self reported an incident that occurred on June 16th, 2021 in which a child pushed the gate open and ran out. LPA conducted interviews and it was stated that staff supervised child who had wandered from the facility. The allegations are unsubstantiated. Allthough the alleged violations may have occurred or are valid, the preponderance of evidence has not been met to fully prove or disprove that the alleged violations did or did not occur, therefor, they are unsubstantiated. An exit interview was conducted and a notice of site visit and appeal rights were provided. Notice of site visit shall remain posted for a period of 30 days for parental review.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
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 4
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
07/21/2021 and conducted by Evaluator Karyn Guerra
COMPLAINT CONTROL NUMBER: 03-CC-20210721155753

FACILITY NAME:TOTS OF LOVEFACILITY NUMBER:
343620505
ADMINISTRATOR:VANESSA GRANTFACILITY TYPE:
850
ADDRESS:5619 MARCONI AVENUETELEPHONE:
(916) 689-8687
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:24CENSUS: 7DATE:
10/14/2021
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Valyncia Johnson, Mercedes EmersonTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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9
Facility is operating out of ratio
INVESTIGATION FINDINGS:
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At 2:45 p.m. on Thursday, October 14th, 2021, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Valyncia Johnson, for the purpose of a complaint inspection to deliver findings. It was alleged that the facility is operating out of ratio. During the course of the investigation LPA conducted interviews and made observations. Facility was not observed to be out of ratio during complaint inspections to facility. LPA learned that there was an incident during which one staff was absent from the facility due to a family emergency, and another staff came into work but had to leave right away. The Director at the time was stated to have been left alone with 14 children for a period of about 15 minutes until another staff could come in to assist. LPA also learned of concern of staff being left alone with more than 12 children who had woken from a nap. The preponderance of evidence standard has been met, and the allegation is substantiated.

Report continues on 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20210721155753
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: 10/14/2021
NARRATIVE
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Title 22 deficiencies are cited on the subsequent pages of this report. Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, Director 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 for parental review.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20210721155753
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/14/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/15/2021
Section Cited
CCR
101216.3(a)
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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...
This requirement was not met, as evidenced by:
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Director stated that they are hiring more staff and utilizing agencies for substitute staff as needed.
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Based on interviews, one teacher was left alone supervising more than 12 children. This poses an immediate health and safety risk to children 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: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4