390316994-12-20-2021-53-CC-JSMH-CA7SPP-20211230130325

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 390316994
Report Date: 12/20/2021
Date Signed: 12/20/2021 10:42:57 AM

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
09/20/2021 and conducted by Evaluator Jeevun Birk

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20210920150417

FACILITY NAME:	ST. LUKE'S CATHOLIC PRESCHOOL		FACILITY NUMBER:	390316994
ADMINISTRATOR:	ARIANNA ELYSE MARTINEZ		FACILITY TYPE:	850
ADDRESS:	4005 N. SUTTER STREET		TELEPHONE:	(209) 465-5368
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95204
CAPACITY:	72	CENSUS: 0	DATE:	12/20/2021
		UNANNOUNCED	TIME BEGAN:	10:26 AM
MET WITH:	Arianna Martinez		TIME COMPLETED:	10:55 AM

ALLEGATION(S):

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Staff member puts blanket over child to make them nap

INVESTIGATION FINDINGS:

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On 12/20/2021 at 10:26 M Licensing Program Analyst (LPA) Jeevun Birk-Miller conducted an unannounced complaint investigation inspection and met with Director, Arianna Martinez. The purpose of the inspection was to deliver the complaint finding for the above allegation. During the course of the investigation the LPA conducted interviews with the Director, staff, parent, and children. LPA also conducted an oberservation of nap time. It was alleged that Staff #1 (S1) had placed a blanket over the head of Child #2 (C2) during nap time and C1 had difficulty breathing. It was stated in an interview with staff that S1 laid the blanket down and continued to make their rounds, but returned to the child when they heard them. They adjusted the blanket and consoled the child. Interviews with four of four staff and two of two children did not indicate any concerns regarding nap time or staff conduct. Based on the information obtained throughout the course of this investigation the above allegation 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. An exit interview was conducted with the Director. Notice of Site Visit was provided and shall remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021

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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