<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622006
Report Date: 07/16/2019
Date Signed: 07/16/2019 11:01:53 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
05/10/2019 and conducted by Evaluator Christopher Jackson
COMPLAINT CONTROL NUMBER: 03-CC-20190510165954
FACILITY NAME:APPLE A DAY PRESCHOOL & INFANT CTR (PS)FACILITY NUMBER:
343622006
ADMINISTRATOR:MESA, RAQUELFACILITY TYPE:
850
ADDRESS:5013 EL CAMINO AVETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:36CENSUS: 12DATE:
07/16/2019
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Raquel MesaTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Physical Plant: Facility has mold
Play equipment is in disrepair
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Christopher Jackson and Charlotte Baney met with, director Raquel Mesa, to deliver the findings for the above complaint allegations. It was alleged the facility has mold and play equipment is in disrepair.
During the investigation, LPA toured the facility, conducted interviews and obtained photos. The allegation of some play equipment is in disrepair. LPA obtained photos taken of the broken play equipment. LPA observed several toys in the paly arear to be weathered, cracked and missing parts. The allegation of facility has mold. LPA observed various spots of mold in the facility classrooms. Based on the observations and photos taken during the investigation, LPAs are substantiating the above listed allegations.
The department has found the complaint to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.
Title 22 Deficiencies have been cited on the subsequent 9099-D page of this report and Notice of Site Visit and appeal rights provided.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
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 3
Control Number 03-CC-20190510165954
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: APPLE A DAY PRESCHOOL & INFANT CTR (PS)
FACILITY NUMBER: 343622006
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/16/2019
Section Cited
CCR
101238(a)
1
2
3
4
5
6
7
The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This was evidenced by, LPA observed mold to be in the facility classrooms. This poses a potential health and safety risk to children in care.
1
2
3
4
5
6
7
The director stated the facility has cleaned and disinfected spots of mold in the facility and will provide LPAs with proof of materials used to kill the mold. By POC date 08/16/19.
Type B
08/16/2019
Section Cited
CCR
101239(m)(1)
1
2
3
4
5
6
7
The licensee shall provide a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities. This was evidenced by, LPA observed cracked and weathered play equipment. This poses a potential health and safety risk to children in care.
1
2
3
4
5
6
7
The director stated that borken and weathered equipment would be removed from play area and new play equipment will be purchased by POC date: 08/16/19.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3
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
05/10/2019 and conducted by Evaluator Christopher Jackson
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20190510165954

FACILITY NAME:APPLE A DAY PRESCHOOL & INFANT CTR (PS)FACILITY NUMBER:
343622006
ADMINISTRATOR:MESA, RAQUELFACILITY TYPE:
850
ADDRESS:5013 EL CAMINO AVETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:36CENSUS: 12DATE:
07/16/2019
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Raquell MesaTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Student to teacher ratio is not adhered to.
There are hazards in the play yard.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Christopher Jackson and Charlotte Baney met with, director Raquel Mesa, to deliver the findings for the above complaint allegations. It was alleged the facility student teacher ratio is not adhered to and there are hazards in the play area.
During the investigation, LPA toured the facility, conducted interviews and obtained photos. The allegation of Student to teacher ratio is not adhered to. LPA conducted observations of the student to teacher ratio on three separate days at three different time frames. During those inspection LPA observed the facility to be in compliance with staffing ratios according to Title 22 regulations. In the allegation of hazards in the yard area. LPA did observe one loose edge board and one loose fence post. LPA did not determine these two items to be a hazard to children in care. Based on the observations and photos obtained during the investigation the above allegation could not be substantiated or dismissed. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the findings are UNSUBSTANTIATED.
No Title 22 deficiencies were cited at time of inspection. An exit interview was conducted in which the report was reviewed and discussed with Director Raquel Mesa. Appeal rights were discussed, and a printed version was given to licensee. Notice of Site visit was provided and posted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
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 3