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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343621911
Report Date: 12/12/2022
Date Signed: 12/13/2022 09:38:05 AM

Substantiated


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
12/02/2022 and conducted by Evaluator Salene Mayberry
COMPLAINT CONTROL NUMBER: 53-CC-20221202144841
FACILITY NAME:MOORE LEARNING PRESCHOOL & DCC (INF)FACILITY NUMBER:
343621911
ADMINISTRATOR:FRISHA MOOREFACILITY TYPE:
830
ADDRESS:8699 ELK GROVE BOULEVARDTELEPHONE:
(916) 405-0448
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:20CENSUS: 12DATE:
12/12/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Frisha MooreTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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1. Facility did not meet reporting requirements
INVESTIGATION FINDINGS:
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On December 12,2022, Licensing Program Analyst (LPA) Salene Mayberry met with Director Frisha Moore to open and close a complaint investigation. During the investigation, LPA toured the facility, observed staff and children in care, obtained pertinent documents and interviewed Director.

It was alleged that the "Facility did not meet reporting requirements". LPA's interview with Director revealed there were two staff members who tested positive for COVID-19 on November 25th and 26th that were not reported to Licensing. In addition, the interview with Director also revealed that six children tested positive for RSV between November 8th and November 11th and these cases were also not reported to Licensing.

Based on a preponderance of evidence obtained the complaint regarding the above allegation was SUBSTANTIATED.

Report continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Salene MayberryTELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
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 5
Control Number 53-CC-20221202144841
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: MOORE LEARNING PRESCHOOL & DCC (INF)
FACILITY NUMBER: 343621911
VISIT DATE: 12/12/2022
NARRATIVE
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A Type B Deficiency was cited on the subsequent page (LIC9099-D) of this report.

An Exit interview was conducted in which the report was reviewed and discussed with the Director. LPA provided a copy of the report and Appeal Rights to Director. A Notice of Site visit was posted by LPA and Director understands it must remain posted for 30 days.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Salene MayberryTELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
12/02/2022 and conducted by Evaluator Salene Mayberry
COMPLAINT CONTROL NUMBER: 53-CC-20221202144841

FACILITY NAME:MOORE LEARNING PRESCHOOL & DCC (INF)FACILITY NUMBER:
343621911
ADMINISTRATOR:FRISHA MOOREFACILITY TYPE:
830
ADDRESS:8699 ELK GROVE BOULEVARDTELEPHONE:
(916) 405-0448
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:20CENSUS: 12DATE:
12/12/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Frisha MooreTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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1. Facility had an outbreak of RSV
INVESTIGATION FINDINGS:
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On December 12,2022, Licensing Program Analyst (LPA) Salene Mayberry met with Director Frisha Moore to open and close a complaint investigation. During the investigation, LPA toured the facility, observed staff and children in care, obtained pertinent documents and interviewed Director.

It was alleged that the "Facility had an outbreak of RSV". LPA's interview with Director and review of pertinent documents revealed that within hours of receiving the notification of the first positive RSV case Director had sent out exposure notices to enrolled families through ProCare and email and posted notices on the entrance to the center. In addition, all surfaces and toys were sanitized daily with a bleach solution and children and staff with any type of symptoms were sent home.

Report continued on LIC9099A-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Salene MayberryTELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 53-CC-20221202144841
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: MOORE LEARNING PRESCHOOL & DCC (INF)
FACILITY NUMBER: 343621911
VISIT DATE: 12/12/2022
NARRATIVE
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Based on conflicting statements and lack of clear corroborating evidence, the above allegation could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding is UNSUBSTANTIATED.

An Exit interview was conducted in which the report was reviewed and discussed with Director. LPA provided a copy of the report and Appeal Rights to Director. A Notice of Site visit was posted by LPA and Director understands it must remain posted for 30 days.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Salene MayberryTELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 53-CC-20221202144841
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: MOORE LEARNING PRESCHOOL & DCC (INF)
FACILITY NUMBER: 343621911
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/12/2023
Section Cited
CCR
101212
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101212 Reporting Requirements (d) Upon the occurrence…of...the…below, a report shall be made... within the…next working day…In addition, a written report…shall be submitted...within seven days following the occurrence of…(E) Epidemic outbreaks. This requirement was not met as evidence by:
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Director will write an updated policy for herself and all administration staff informing them of Licensing reporting requirements, including the 24 hour reporting requirement. Director will provide LPA of a copy of the policy once written with staff signatures.
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LPA's interview with Director revealed two staff members testing positive for COVID-19 on 11/25 and 11/26, as well as six children testing positive for RSV between 11/8 and 11/11, and that none of these occurrences were reported to Licensing.
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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: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Salene MayberryTELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5