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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 390300413
Report Date: 01/30/2020
Date Signed: 01/30/2020 03:08:01 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
01/09/2020 and conducted by Evaluator Justin L Denton
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20200109081806
FACILITY NAME:LODI DAY NURSERY SCHOOLFACILITY NUMBER:
390300413
ADMINISTRATOR:BECK,CINDYFACILITY TYPE:
850
ADDRESS:760 S HAM LANETELEPHONE:
(209) 334-6884
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY:135CENSUS: 54DATE:
01/30/2020
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Jan GarrettTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Authorized representative denied access to child's records
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Justin Denton met with Director Jan Garrett to deliver the findings for the above complaint allegation. In the complaint, it was alleged that facility staff denied the authorized representative of a child access to that child's records. During the investigation, interviews were conducted with three staff and the child's parent, and copies of facility documents were obtained. Through the interview process, it was revealed that staff maintained two separate files for each parent of the child and denied a one parent access to the other parent's file.

Based on interviews and observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations Title 22 is being cited on the attached LIC 9099D. Exit interview conducted and notice of site visit posted.
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L DentonTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020
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 53-CC-20200109081806
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: LODI DAY NURSERY SCHOOL
FACILITY NUMBER: 390300413
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/06/2020
Section Cited
CCR
101221(e)
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Child's Records: A child's records shall also be open to inspection by the child's authorized representative. This requirement was not met as evidenced by:

Facility staff denied a child's parent access to the child's records.
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Licensee will ensure that parents, unless prevented by court order, have access to their children's files.
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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: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L DentonTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2