393621064-6-22-2023-53-CC-CHUR-CTDP4V-20230703105945

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393621064
Report Date: 06/22/2023
Date Signed: 06/22/2023 02:47:55 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/19/2023 and conducted by Evaluator Elvira Sierra

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20230619113334

FACILITY NAME:	CAMPUS DOWNTOWN, INC., THE		FACILITY NUMBER:	393621064
ADMINISTRATOR:	ELIZABETH HERRERA		FACILITY TYPE:	850
ADDRESS:	123 NORTH SUTTER STREET		TELEPHONE:	(209) 594-1879
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95202
CAPACITY:	96	CENSUS: 37	DATE:	06/22/2023
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Ervin Smith		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Food Service-Facility staff are not adhering to the posted menu

INVESTIGATION FINDINGS:

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On 06/22/23, Licensing Program Analyst (LPA) Elvira Sierra met with Director, Elizabeth Herrera for an unannounced complaint investigation regarding the above allegation. Licensee, Ervin smith arrived later during the inspection. Present during the inspection was Director, five staff and one volunteer caring for 37 children.
During today’s visit, LPA inspected all areas accessible to children including the facility kitchen. LPA also conducted interviews with staff and daycare children. Complainant has reported that facility staff are not adhering to the posted menu. Interviews revealed that facility is not following the breakfast schedule menu. Even though facility is following meal patterns requirements, facility failed to update their breakfast menu. Facility was advised that any changes to the menu shall be in writing and shall be posted at least one week in advance for parental review.
Based on LPA interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. See attached LIC 9099D page for Technical Violation cited.Exit interviewed conducted. This report and Appeal of Rights were reviewed and provided to Licensee, Ervin Smith. Notice of Site Visit posted.

Substantiated

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: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

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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