390321278-1-20-2022-53-CC-BENN-CB2QAR-20220126110021

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 390321278
Report Date: 01/20/2022
Date Signed: 01/20/2022 02:23:37 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
11/03/2021 and conducted by Evaluator Elvira Sierra

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20211103095548

FACILITY NAME:	SAN JOAQUIN DELTA COLLEGE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	390321278
ADMINISTRATOR:	COOK, NANCY		FACILITY TYPE:	850
ADDRESS:	5151 PACIFIC AVE		TELEPHONE:	(209) 954-5702
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	144	CENSUS: 39	DATE:	01/20/2022
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Nancy Cook		TIME COMPLETED:	11:10 AM

ALLEGATION(S):

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Personal Rights-Child sustained injuries while in care.
Reporting Requirements-Staff did not notify parent of incidents.

INVESTIGATION FINDINGS:

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On Thursday, January 20, 2022 Licensing Program Analyst (LPA) Elvira Sierra met with Facility Representative, Nancy Cook, for the purpose of delivering findings of the above allegations. LPA toured the facility and conducted a health and safety inspection in areas accessible to children and observed 11 staff caring for 39 day care children.

Reporting Party (RP) alleged child sustained injuries while in care and staff did not notify parent of incidents. LPA Sierra collected pertaining documents and interviewed staff, children and parents of children in care. LPA reviewed children files and learned that facility uses Incident/Accident report form to inform parents if an incident is observed. The incident report is discussed, and signature of the child’s parent/guardian is obtained as a proof that parent/guardian was informed of the incident. Parents that were interviewed did not disclosed having any concerns regarding care and supervision or corroborate the allegations. Also Staff stated during interviews that C1 was not complaining of any pain and C1 was doing fine until C1 was released to go home. Report continues on subsuquent page 809C----

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 01/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022

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-20211103095548

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: SAN JOAQUIN DELTA COLLEGE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 390321278
	VISIT DATE: 01/20/2022

NARRATIVE

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Director stated facility conduct health check each morning when child arrives and before the parent or guardian leaves the building to give a chance to discuss if suspect the child is ill or if any concerns about any changes in the child’s appearance or behavior.

Based on the information obtained through interviews and observations; Although the allegation may had happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

No Title 22 Deficiencies cited, and Notice of Site Visit posted. Appeal of Rights were provided.

An Exit Interview was conducted in which the report was reviewed and discussed with Facility Representative, Nancy Cook.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 01/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022

LIC9099 (FAS) - (06/04)

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