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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343621434
Report Date: 08/19/2021
Date Signed: 08/19/2021 11:38:35 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
07/22/2021 and conducted by Evaluator Amy Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20210722083446
FACILITY NAME:ALI, SAIMAFACILITY NUMBER:
343621434
ADMINISTRATOR:ALI, SAIMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 337-5458
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:14CENSUS: 5DATE:
08/19/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Saima AliTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Personal Rights- Licensee failed to meet child's needs
Personal Rights- Child sustained injuries while in care
Personal Rights- Licensee inappropriately disciplined child
License- Licensee is operating beyond the terms of license
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Silva conducted a follow up complaint inspection and met with Licensee Saima Ali, to deliver the findings for the above complaint allegations.

It was alleged that Licensee failed to meet child's needs. Reporting Party RP stated her child C1 comes home from daycare hungry and believes that the licensee does not feed C1 while in care. LPA conducted interviews with Licensee, parents, children and other parties who conduct observations at the facility. During the interviews it was stated that Licensee serves five meals per day and is registered with a child care food program, who ensures proper serving sizes and food groups are served daily. LPA also learned through interviews that children are offered more food if they’re still hungry after their first serving. Interviews did not identify any child who comes home hungry. Based on the information obtained, this allegation is found to be unsubstantiated.

Report continued on next page
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Amy SilvaTELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
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 2
Control Number 53-CC-20210722083446
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: ALI, SAIMA
FACILITY NUMBER: 343621434
VISIT DATE: 08/19/2021
NARRATIVE
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It was also alleged that child sustained injuries while in care. RP stated that child C1 came home with scratches and scrapes on their body and staff do not notify parents of incidents that occur at the facility when a child gets hurt. RP also stated that C1 comes home with dirty clothing from facility. Specific incidents and dates were not provided which did not provide enough information to identify any unreported incidents. Interviews revealed that parents are notified immediately of any injury. It was also stated that if a child's injury requires medical treatment then the facility will notify licensing. Based on the information obtained, this allegation is found to be unsubstantiated.

It was also alleged that Licensee inappropriately disciplined child. It was alleged that on one occasion Licensee put child C1 in time out in the laundry room. Through interviews, parents, children, and staff described discipline as talking to children about their actions and the effect these behaviors have on their peers. It was also stated that staff sometimes will hug the children to comfort them and will redirect the children when they are engaging in activities that may be unsafe. Licensee stated she does not put children in time-out. Instead, Licensee has the children sit down to think about what they did and then talks to the children on their level and comes up with a solution and often times redirects children. LPA observed appropriate staff-child interactions while at the facility. The information obtained during the investigation revealed inconsistencies and it could not be determined that staff S1 put child C1 in time-out in the laundry room. Based on the information obtained, this allegation is found to be unsubstantiated.



It was alleged that Licensee is operating beyond the terms of license. Reporting party stated Licensee cares for ten children without an assistant present. Licensee stated she has never been out of ratio because she has at least four staff who take turns assisting Licensee with the children. Parent interviews revealed that Licensee has an assistant present when needed and always compliant with ratio. LPAs \observations and supporting evidence through interviews with parents and staff from outside agencies, confirm that Licensee has been in compliance with ratio and capacity when they have been to the facility. Licensee stated that she is always in compliance with ratio and capacity requirements. Based on the information obtained, this allegation is found to be unsubstantiated.

An unsubstantiated finding means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore these allegations are unsubstantiated. An exit interview was conducted. Appeal rights were provided and discussed. A Notice of Site Visit was posted during this inspection.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Amy SilvaTELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2