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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393621826
Report Date: 01/11/2022
Date Signed: 01/11/2022 03:38:33 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
01/05/2022 and conducted by Evaluator Christopher Jackson
COMPLAINT CONTROL NUMBER: 53-CC-20220105114919
FACILITY NAME:SEQUOIA CHRISTIAN PRESCHOOLFACILITY NUMBER:
393621826
ADMINISTRATOR:BAUGH, CARMENFACILITY TYPE:
850
ADDRESS:1050 S. UNION ROADTELEPHONE:
(209) 815-9341
CITY:MANTECASTATE: CAZIP CODE:
95337
CAPACITY:68CENSUS: 25DATE:
01/11/2022
UNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Carmen BaughTIME COMPLETED:
03:45 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
No one wears masks at the facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Christopher Jackson and Chayntel Hunter met with director, Carmen Baugh to open and close the complaint investigation regarding the above allegation.

During the course of the investigation, LPAs conducted interviews, and obtained information pertaining to allegation. It was alleged that staff are not wearing masks. Interviews revealed that staff are not always weraing a masks while indoors. In additon LPAs observed some groups of children not required to wear masks. The director explained that the facility tries to keep up to date with current guidelines, and will be modifying their protocols to accommodate the guidelines. LPAs reviewed updated COVID19 guidelines with the director.
Based on the interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Technical Violation was assessed on the subsequent pages. An exit interview was conducted with the director. Notice of Site Visit was provided and should remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Christopher Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2022
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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