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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393617385
Report Date: 05/30/2023
Date Signed: 05/30/2023 05:15:36 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
04/25/2023 and conducted by Evaluator David Nguyen
COMPLAINT CONTROL NUMBER: 53-CC-20230425101054
FACILITY NAME:ACE TOTS PRESCHOOLFACILITY NUMBER:
393617385
ADMINISTRATOR:KHAN, NADIAFACILITY TYPE:
850
ADDRESS:7204 SHORELINE DRIVETELEPHONE:
(209) 330-1030
CITY:STOCKTONSTATE: CAZIP CODE:
95219
CAPACITY:90CENSUS: DATE:
05/30/2023
UNANNOUNCEDTIME BEGAN:
04:07 PM
MET WITH:Stephanie KoyTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff did not meet child's diapering needs
Staff speaks inappropriately to children in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), David Nguyen and Lauren Scott conducted an unannounced field visit to deliver the findings for the above allegations. LPAs arrived at the facility and were met by Director Nadia Khan (D1). LPAs disclosed the purpose of the inspection and were granted entrance. LPAs toured the facility and observed thirteen (13) children being supervised by three (3) adults.

It were alleged that the “Staff did not meet child's diapering needs.” and "Staff speaks inappropriately to children in care." During the investigation LPA Nguyen toured the facility, observed staff interactions with children in care, conducted interviews with parents and staff, and obtained pertinent documents. Through observations it was revealed that there were times staff were speaking inappropriately to children in care. Interviews and lack of supporting documents also revealed that diapering needs of children were not being met.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David NguyenTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
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 4
Control Number 53-CC-20230425101054
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: ACE TOTS PRESCHOOL
FACILITY NUMBER: 393617385
VISIT DATE: 05/30/2023
NARRATIVE
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Based on a preponderance of evidence obtained the complaint regarding the above allegations were SUBSTANTIATED.

A Type A Deficiency was cited on the subsequent page (LIC9099-D) of this report.

An Exit interview was conducted in which the report was reviewed and discussed with Director. LPA provided a copy of the report and Appeal Rights to Director. A Notice of Site visit was posted by LPA and Director understands it must remain posted for 30 days.

SUPERVISOR'S NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David NguyenTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
04/25/2023 and conducted by Evaluator David Nguyen
COMPLAINT CONTROL NUMBER: 53-CC-20230425101054

FACILITY NAME:ACE TOTS PRESCHOOLFACILITY NUMBER:
393617385
ADMINISTRATOR:KHAN, NADIAFACILITY TYPE:
850
ADDRESS:7204 SHORELINE DRIVETELEPHONE:
(209) 330-1030
CITY:STOCKTONSTATE: CAZIP CODE:
95219
CAPACITY:90CENSUS: 13DATE:
05/30/2023
UNANNOUNCEDTIME BEGAN:
04:07 PM
MET WITH:Nadia KhanTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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9
Staff hit child in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), David Nguyen and Lauren Scott conducted an unannounced field visit to deliver the findings for the above allegation. LPAs arrived at the facility and were met by Director, Nadia Khan. LPAs disclosed the purpose of the inspection and were granted entrance. LPAs toured the facility and observed thirteen (13) children being supervised by three (3) adults.

It was alleged that the “Staff hit child in care.” During the investigation, LPA,Nguyen inspected the facility and interviewed the Licensee, Director, Teachers, Parents, and Children. During the interviews, LPA Nguyen found conflicting information regarding the allegation that staff may have hit child in care. 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 allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David NguyenTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 53-CC-20230425101054
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: ACE TOTS PRESCHOOL
FACILITY NUMBER: 393617385
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/30/2023
Section Cited
CCR
101223(a)(1)
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(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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Staff Meeting will be held to focus on Personal Rights and Behavioral Management strategies. Director will email LPA the sign-in sheet from this meeting. Director will create a written statement for staff to sign that describes what tone and volume will be expected of staff for the future
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Based on the interview and observation, the tone and volume used by staff posed an immediate health, safety, or personal rights risk to children in care.
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Director will email the signed statements to LPA.
Type B
05/30/2023
Section Cited
CCR
102423(a)(2)
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(a) Each child receiving services... shall have certain rights that shall not be…abridged...These rights include...the following:…(2) To receive safe, healthful, and comfortable accommodations... This requirement was not met as evidence by:
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Licensee and her staff will check diapers every two hours and will check the diaper of each child before they are allowed to go home for the day. In addition, Licensee will create a daily diaper log for the children that will track diapering and will be provided to children’s families upon request.
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Interviews revealed issues relating to diapering, including not being changed throughout the day and picking children up soiled at end of the day. This poses a potential risk to the health and safety of children.
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Licensee will provide LPA with a copy of this form once it is created.
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: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David NguyenTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4