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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623515
Report Date: 06/02/2022
Date Signed: 06/02/2022 12:49:16 PM

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
05/05/2022 and conducted by Evaluator Alize Tillery
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220505102819
FACILITY NAME:LITTLE SUMMIT CENTERFACILITY NUMBER:
343623515
ADMINISTRATOR:CAMERINO, C/RAMIREZ, CFACILITY TYPE:
850
ADDRESS:2224 BEAUMONT STREETTELEPHONE:
(916) 922-1896
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:68CENSUS: 16DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Anna VangTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility staff failed to prevent the spread of illnesses
Facility staff did not notify parents of illness
INVESTIGATION FINDINGS:
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On Thursday, June 2, 2022, at approximately 10:15 AM, Licensing Program Analyst (LPA) Alize Tillery met with Assistant Director, Anna Vang, to conduct an unannounced inspection to deliver the findings to the above allegations. During today's visit, LPA observed 9 preschool children supervised by 1 staff and 7 toddler children supervised by 3 staff.

During the course of the investigation, LPA Tillery conducted interviews with the reporting party, staff, children and parents. One of the allegations is that the facility failed to prevent the spread of ilnesses. Based on the information received during interviews, LPA learned that staff were not conducting daily inspections for illnesses. This poses a potential risk to children.

The second allegation was that the facility does not notify parents of illnesses. Based on the information received during interviews, staff did not notify parents of the recent hand foot and mouth outbreak. LPA reminded Assistant Director that authorized representatives must be notified if their child becomes ill or if there is an outbreak of a communicable disease.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
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 03-CC-20220505102819
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: LITTLE SUMMIT CENTER
FACILITY NUMBER: 343623515
VISIT DATE: 06/02/2022
NARRATIVE
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Based on LPA's interviews and observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiencies are cited on the following 809D page.

This report was reviewed with Assistant Director and a Notice of Site visit was issued. Assistant Director acknowledges the Notice of Site Visit is to remain posted for 30 days.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 03-CC-20220505102819
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: LITTLE SUMMIT CENTER
FACILITY NUMBER: 343623515
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
06/03/2022
Section Cited
CCR
101226.1(a)
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(a) The licensee shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.
(1) Additional attention shall be paid to children who:
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Assistant Director will submit to LPA Tillery, corresponence stating she understands that staff are to conduct daily inspections for illnesses prior to accepting the child in care.
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(A) Have been absent because of illness.
B) Have been exposed to a contagious disease.

This requirement was not met, evidenced by: Based on information obtained during interviews, staff were not conducting daily inspection for illnesses.
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Request Denied
Type B
06/03/2022
Section Cited
CCR
101226(a)
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(a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken.
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Assistant Director will submit to LPA TIllery, correspondence stating that she understands that parents are to be informed when a child becomes ill while in care and/or if there is an outbreak of a communicable disease.
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This requirement was not met, evidence by:
Based on interviews and observations, staff did not notify parents about the recent hand foot and mouth outbreak in the center.
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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: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC9099 (FAS) - (06/04)
Page: 3 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
05/05/2022 and conducted by Evaluator Alize Tillery
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220505102819

FACILITY NAME:LITTLE SUMMIT CENTERFACILITY NUMBER:
343623515
ADMINISTRATOR:CAMERINO, C/RAMIREZ, CFACILITY TYPE:
850
ADDRESS:2224 BEAUMONT STREETTELEPHONE:
(916) 922-1896
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:68CENSUS: 16DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Anna TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility is unclean
INVESTIGATION FINDINGS:
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On Thursday, June 2, 2022, at approximately 10:15 AM, Licensing Program Analyst (LPA) Alize Tillery met with Assistant Director, Anna Vang, to conduct an unannounced inspection to deliver the findings to the above allegations. During today's visit, LPA observed 9 preschool children supervised by 1 staff and 7 toddler children supervised by 3 staff.

During the course of the investigation, LPA Tillery conducted interviews with the reporting party, staff, children and parents. Information obtained during interviews, revealed that staff follow a schedule to clean the facility. During the course of the investigation, LPA Tillery also toured all areas of the facility: preschool room, toddler room, two outdoors play areas, third room which is currently being used as storage, kitchen and bathrooms. LPA observed the facility to be in a clean condition.

Report continues...
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 03-CC-20220505102819
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: LITTLE SUMMIT CENTER
FACILITY NUMBER: 343623515
VISIT DATE: 06/02/2022
NARRATIVE
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Based on the investigation conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. As a result, the allegation is UNSUBSTANTIATED.

LPA reviewed the report with Assistant Director and provided copies. Appeal Rights were issued and discussed. A Notice of Site Visit was issued and Director acknowledges it must remain posted for 30 days.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5