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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393620622
Report Date: 11/28/2022
Date Signed: 11/28/2022 01:42:59 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
11/18/2022 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20221118111433
FACILITY NAME:TRACY LEARNING CENTER PRE KINDERGARTENFACILITY NUMBER:
393620622
ADMINISTRATOR:CABRAL-JONES, AMYFACILITY TYPE:
850
ADDRESS:238 WEST GRANTLINE ROAD #BTELEPHONE:
(209) 229-1575
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:74CENSUS: 15DATE:
11/28/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Amy Cabral- Jones TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Personal Rights: Staff bullied day-care child.
INVESTIGATION FINDINGS:
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On November 28, 2022, Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of conducting a complaint inspection. LPA met with facility representative. LPA observed 15 children supervised by three staff. Criminal record clearances were verified.

It was alleged that Staff bullied day-care child. The facility was toured, files were reviewed, and interviews were conducted with facility staff. The Director confirmed that it was brought to her attention that a staff member (S1) acted in an inappropriate manner towards child#1 (C1). A meeting was held with S1 where they were issued a letter of reprimand. Staff interviewed confirmed that S1 was seen and heard making inappropriate remarks and gestures to C1 when they cried. Information revealed that C1 had a difficult time transitioning into the facility and cried often. Staff confirmed C1 was offered accommodations in hopes of soothing them. Based on the information received, there was an immediate risk to the health and safety of children in care. The allegation is determined to be substantiated.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022
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 3
Control Number 53-CC-20221118111433
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: TRACY LEARNING CENTER PRE KINDERGARTEN
FACILITY NUMBER: 393620622
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/29/2022
Section Cited
CCR
101223(a)(3)
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To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
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Director stated that she met with all staff to review Title 22 Regulations concerning personal rights. A meeting was held with S1 where they were issued a written letter of reprimand.
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This requirement was not met as evidenced by: S1 was seen and heard making inappropriate comments and gestures to C1 when they cried. This poses an immediate risk to the health and safety of 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: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 53-CC-20221118111433
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: TRACY LEARNING CENTER PRE KINDERGARTEN
FACILITY NUMBER: 393620622
VISIT DATE: 11/28/2022
NARRATIVE
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Title 22 Deficiency has been cited on the attached LIC 9099D. Upon receipt of Type A citations, facility shall post and provide copies of the LIC 9099D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, acknowledging receipt of Licensing Reports LIC 9099D in each child's files.

Exit interview conducted at which time the report was reviewed with Facility Representative, Amy Cabral- Jones. A Notice of Site Visit was posted by LPA Williams and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3