393620779-8-2-2021-53-CC-BENN-C5KPF9-20210804111621

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393620779
Report Date: 08/02/2021
Date Signed: 08/02/2021 01:12:43 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
05/20/2021 and conducted by Evaluator Marissa Soto

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20210520135924

FACILITY NAME:	CREATIVE CHILD CARE INC @ FREMONT STREET CDC		FACILITY NUMBER:	393620779
ADMINISTRATOR:	GARCIA, ISOCHILT		FACILITY TYPE:	850
ADDRESS:	2295 E. FREMONT ST		TELEPHONE:	(209) 323-4335
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95205
CAPACITY:	40	CENSUS: 13	DATE:	08/02/2021
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Nohemi De Alba-Vega		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Daycare child sustained unexplained injury while in care

INVESTIGATION FINDINGS:

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On 08/02/2021, at 11:00am Licensing Program Analyst (LPA) Marissa Soto conducted an on site visit and met with Family Service Worker, Nohemi De Alba-Vega. Facility is still open during the COVID-19 pandemic, and todays census consisted of 13 children supervised by 4 Staff members. Nohemi took LPA on tour of the classroom. The purpose of the visit was to inform Nohemi of the findings for the above complaint allegation. It was alleged a Daycare Child sustained unexplained injury while in care. During the investigation, LPA toured, made observations, and interviews were conducted with staff, an adult, and a child. Interviews conducted did not provide any corroboration or evidence to support the allegation. LPA observed staff adequately supervising children and documentation of incident reports in children's files. LPA learned that staff notify families of child injuries and that they are taking preventative measures to guide children's behaviors. LPA discussed personal rights with the Family Service Worker.
Based on the information gathered throughout the course of the investigation there was not a preponderance of evidence to prove or dismiss the allegation. This complaint has been determined to be UNSUBSTANTIATED: meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

Exit interview conducted and appeal rights were discussed. A copy of this report, Notice of Site Visit, and appeal rights were provided to the Family Service Worker. Notice of Site Visit is posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Marissa Soto	TELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021

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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