343622084-8-30-2023-03-CC-SDLA-CVEQA4-20230906115918

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343622084
Report Date: 08/30/2023
Date Signed: 08/30/2023 11:04:39 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/15/2023 and conducted by Evaluator Amanda Sutter

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20230815154624

FACILITY NAME:	CREATIVE SPACES PRESCHOOL & LEARNING CENTER		FACILITY NUMBER:	343622084
ADMINISTRATOR:	ELIZABETH MONG		FACILITY TYPE:	850
ADDRESS:	5315 H STREET		TELEPHONE:	(916) 307-7109
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95819
CAPACITY:	30	CENSUS: 23	DATE:	08/30/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Manpreet Thorne		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff did not abide by their admission agreement.

INVESTIGATION FINDINGS:

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On Wednesday, August 30, 2023, Licensing Program Analysts (LPAs) Amanda Sutter and Arianna Manabat met with Licensee Representative Manpreet Thorne to deliver findings regarding the above allegations. LPAs observed 23 children supervised by 5 staff. It was alleged that staff did not abide by their admission agreement.

LPA Sutter conducted interviews and gathered documentation of the investigation. On 8/14/2023, a child was withdrawn from the facility. This was the child’s first day at the facility. The child arrived at 9:00 AM and was picked up around 4:00 PM. Parents spoke with Licensee Representative (LR) at pick-up. At 2:57 PM, Director sent an email to parents which stated that their child was “withdrawn from enrollment” due to “existing qualifications and ability of staff.”

CONTINUED ON LIC9099-C

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda Sutter	TELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

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-20230815154624

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CREATIVE SPACES PRESCHOOL & LEARNING CENTER	FACILITY NUMBER: 343622084
	VISIT DATE: 08/30/2023

NARRATIVE

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The facility’s parent handbook states, “For any behavior of the child which, in the sole judgment of Creative Spaces Preschool, presents a risk of harm to other children or adults, … a child may be dismissed/withdrawn completely without prior notice.” During interviews, the LR stated that she believed the child’s behavior was unsafe. LPA did not observe documentation that the child presented unsafe behavior, or that the facility communicated to parents that the reason for disenrollment was the child’s behavior. The parent handbook under admission policy states, “Each child is accepted on a one-month trial basis to ensure that CSP is the right place for him/her.” LPA asked LR if the disenrollment process is different during the one-month trial period and was told that the disenrollment process is “what is outlined in the admission agreement.” The admission agreement states, “CSP will make every effort to work collaboratively with families to resolve any challenges that arise. Additional resources may need to be used to support a child’s success in the school environment. If, after all, reasonable efforts are exhausted, and a problem cannot be resolved, CSP reserves the right to dismiss a child from the program.” LPA asked what collaborative efforts were made, and LR stated that the use of an aide was discussed with parents at pick-up. LPA did not observe any documentation of this conversation, and LR stated that she did not document the conversation.

Based on the evidence obtained, LPAs determined that the allegation is substantiated, meaning that the preponderance of evidence standard has been met. One Type B citation was issued on the following 9099-D. Exit interview was conducted. A copy of this report was given to Licensee Representative Manpreet Thorne. Appeal rights were provided.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda Sutter	TELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20230815154624

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CREATIVE SPACES PRESCHOOL & LEARNING CENTER	FACILITY NUMBER: 343622084
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/30/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 09/22/2023 Section Cited CCR 101219(f)	1 2 3 4 5 6 7	101219(f) Admission Agreement (f) The licensee shall comply with all terms and conditions set forth in the admission agreement. This regulation was not met as evidenced by:	1 2 3 4 5 6 7	Licensee Representative stated that she will revise her current handbook and admission agreement.
	8 9 10 11 12 13 14	Based on interviews and documents reviewed, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
	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: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda Sutter	TELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

LIC9099 (FAS) - (06/04)

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