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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393604402
Report Date: 01/06/2020
Date Signed: 01/06/2020 02:33:31 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
10/10/2019 and conducted by Evaluator Justin L Denton
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20191010091539
FACILITY NAME:TULLY C. KNOLES PRESCHOOLFACILITY NUMBER:
393604402
ADMINISTRATOR:HAYES, JENNIFERFACILITY TYPE:
850
ADDRESS:6511 CLARKSBURG PLACETELEPHONE:
(209) 953-8776
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:48CENSUS: 20DATE:
01/06/2020
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Jennifer HayesTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff kept day care child in soiled clothing for extended amount of time.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Justin Denton conducted an unannounced inspection and met with Preschool Specialist Rena Damele. The purpose of the visit is to deliver findings for the above complaint investigation.

It was alleged that a staff kept a day care child in soiled clothing for an extended period of time. During the course of the investigation, LPA obtained relevant facility documents, interviewed one staff, parent, and the child's care provider. LPA was unable to interview a second staff member that was present on the date and time of the incident. Evidence gathered during interviews showed that a staff member attempted to follow facility policy regarding soiled clothing by contacting the child's care provider and the provider declined to change the child's clothing because it occurred prior to the provider's pick-up of the child. LPA was not able to establish exactly how long the child was in soiled clothing.

Based on interviews, observations, and documents gathered, there was not a preponderance of evidence to prove or negate the allegation, therefore the allegation is unsubstantiated No Title 22 deficiencies cited, an exit interview was conducted, and a notice of site visit was posted.
Unsubstantiated
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: 01/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2020
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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