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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623021
Report Date: 03/16/2020
Date Signed: 03/16/2020 05:01:03 PM



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
03/10/2020 and conducted by Evaluator Joleen Kenney
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20200310152529
FACILITY NAME:BASS, AMANIFACILITY NUMBER:
343623021
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
03/16/2020
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Amani Bass, LicenseeTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Provider did not pick up day care child from school in a timely manner.
INVESTIGATION FINDINGS:
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On 3/16/2020 at 4:15 p.m., Licensing Program Analyst (LPA) Joleen Kenney conducted an unannounced complaint inspection and met with the Licensee, Amani Bass. It was alleged that the provider did not pick up a day care child from school in a timely manner. LPA Kenney discussed the allegation with the Licensee and the Licensee confirmed that she did not pick up the day care child (C1) on one occasion because the Licensee forgot how to get to the school because transportation had not been provided on a regular basis. The Licensee was also late picking up the same day care child on another occasion because she had vehicle problems. LPA Kenney explained to the Licensee that this is a personal rights violation. LPA Kenney informed the Licensee that she needs to notify the child's parent when she is not going to be able to pick the child up from school on time prior to school dismissal so other arrangements could be made.

Based on LPAs interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2020
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-20200310152529
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: BASS, AMANI
FACILITY NUMBER: 343623021
VISIT DATE: 03/16/2020
NARRATIVE
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Upon receipt of the Type A citation, licensee shall post and provide copies of this licensing report to parents/guardians of children who are currently enrolled as well as parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC 9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20200310152529
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: BASS, AMANI
FACILITY NUMBER: 343623021
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/16/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/17/2020
Section Cited
CCR
102423(a)(2)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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The Licensee stated that she will notify the child's parent if she is not going to be able to pick up a day-care child from school prior to the dismissal time from school. The Licensee agrees to submit a written plan of correction.
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This requirement is not met as evidenced by: The Licensee confirmed that the Licensee did not pick a child (C1) from school on 3/4/20 and also was late picking up the same child on 3/10/20.
This is an immediate risk to the health and safety of 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: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3