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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 390300413
Report Date: 06/16/2022
Date Signed: 06/16/2022 05:30:02 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
05/11/2022 and conducted by Evaluator Chayntel Hunter
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220511165143
FACILITY NAME:LODI DAY NURSERY SCHOOLFACILITY NUMBER:
390300413
ADMINISTRATOR:RACHAEL KULLINGFACILITY TYPE:
850
ADDRESS:760 S HAM LANETELEPHONE:
(209) 334-6884
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY:135CENSUS: 27DATE:
06/16/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director, Rachael KullingTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Staff handles children in a rough manner
Children are not fed sufficient amount of food
Classroom is out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Chayntel Hunter and Christopher Jackson and met with Director, Rachael Kulling to deliver the findings of the complaint investigation regarding the above allegations.

During the course of the investigation, LPAs Hunter and Jackson conducted interviews, and obtained information pertaining to allegations. It was alleged that staff are handling children in a rough manner. Interviews conducted revealed that staff are grabbing children by the wrist and arm, and picking them up in a rough manner, as a form of discipline. It was also alleged that the classroom is operating out of ratio. Interviews conducted revealed that during nap time some classrooms combine their children to accommodate ratios, but after nap time staff are still left alone with approximately 13-18 children after the children have woken up, and transition into the gym area, which is when the facility goes back into ratio.

Report continues on 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
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 6
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
05/11/2022 and conducted by Evaluator Chayntel Hunter
COMPLAINT CONTROL NUMBER: 53-CC-20220511165143

FACILITY NAME:LODI DAY NURSERY SCHOOLFACILITY NUMBER:
390300413
ADMINISTRATOR:RACHAEL KULLINGFACILITY TYPE:
850
ADDRESS:760 S HAM LANETELEPHONE:
(209) 334-6884
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY:135CENSUS: 27DATE:
06/16/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director, Rachael KullingTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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2
3
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5
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9
2 year old child was lost on campus
Aides are left alone with children
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Chayntel Hunter and Christopher Jackson and met with Director, Rachael Kulling to deliver the findings of the complaint investigation regarding the above allegations.

During the course of the investigation, LPAs Hunter and Jackson conducted interviews, and obtained information pertaining to allegations. It was alleged that a two year old child was lost on the campus. Interviews conducted provided inconsistent information as to whether the child was actually missing, and where staff were located during the incident. LPA was unable to determine if the child was left unattended, or if staff were present. It was also alleged that teacher aides are being left alone with the children, at times other than those outlined in Title 22 regulations. LPAs were unable to determine if aides were left alone with children, other than at nap time.

Report continues on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
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 6
Control Number 53-CC-20220511165143
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
VISIT DATE: 06/16/2022
NARRATIVE
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Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding is UNSUBSTANTIATED.

Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 53-CC-20220511165143
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
VISIT DATE: 06/16/2022
NARRATIVE
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Lastly it was alleged that children are not fed a sufficient amount of food. LPAs reviewed the facility menu, and conducted interviews which revealed that children are still hungry and thirsty after meals. Interviews revealed that the facility will offer alternatives and includes additional components to give children more options. A review of the menu determined that the facility needs to update their menu and include all components to the meals that are being provided.

Based on the interviews and review of records the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Title 22 regulations are being cited on the attached 9099-D pages.

An exit interview was conducted with the Director. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA Hunter informed Facility Representative, Rachael Kulling that this report dated 06/16/22 documents 2 Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Hunter informed the Facility Representative to provide a copy of this licensing report dated 06/16/22 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 53-CC-20220511165143
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: 06/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/17/2022
Section Cited
CCR
101223(a)(1)
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Personal Rights 10223 (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Director explained a staff meeting will be held to discuss Title 22 regulations and Personal Rights. LPAs encouraged Director to watch Title 22 videos in regards to personal rights on CCLD website.
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Interviews conducted revealed that staff are grabbing children by the wrist and arm, and picking them up in a rough manner, as a form of disciipline. This is an immediate health and safety risk to children in care.
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Type A
06/17/2022
Section Cited
CCR
101216.3(a)
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Teacher-Child Ratio 101216.3 (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance... This requirement was not met as evidenced by:
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Director will ensure that when children are awake, another staff member is available so that Title 22 ratios are being maintained.
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Interviews conducted revealed that during nap time classrooms combine their children, but after nap time staff are still left alone with approximately 13-18 children after the children have woken up. This is an immediate health and safety risk to 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: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 53-CC-20220511165143
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: 06/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/18/2022
Section Cited
CCR
101227(a)(1)
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Food Services 10122 (a) In child care centers providing meals to children, the following shall apply: (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. This requirement was not met as evidenced by:
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Director stated that the facility will update their menu to ensure all components are listed, and make arrangements with families to ensure that if there is something the child doesn't eat, parents can provide meals for their children.
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Interviews conducted revealed that there is concern with amount of food being served to children, especially when children don't like what is being served. A review of records revealed that the facility menu needs to list all the components being provided to children during meals.
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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: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 6