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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393622079
Report Date: 12/22/2021
Date Signed: 12/22/2021 11:03:12 AM

Unsubstantiated


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
10/06/2021 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20211006142003
FACILITY NAME:PERDUE, KRISTIFACILITY NUMBER:
393622079
ADMINISTRATOR:PERDUE, KRISTIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 362-0776
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:14CENSUS: 14DATE:
12/22/2021
UNANNOUNCEDTIME BEGAN:
09:44 AM
MET WITH:Kristi Perdue TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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9
Licensee did not properly supervise daycare children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Stacey Williams arrived at the facility for the purpose of delivering complaint findings regarding the allegation listed above. LPA met with Licensee, Kristi Perdue. LPA observed (14) fourteen children supervised by Licensee and two assistants.
It was alleged that Licensee did not properly supervise children. The facility was inspected and interviews were conducted with the reporting party, Licensee, and staff. Licensee denied the allegation and reported that she was in a different area of the house dealing with a sick child when the reporting party entered the home; therefore did not immediately see or hear them. Licensee had a staff working that was preoccupied with a child in the restroom located at the back of the house when the reporting party entered the home without permission from the Licensee. Licensee reported that had protocol for entry into the home occurred; either she or her staff would have greeted them and informed them the reason for the delay with answering the door. Based on the information received the allegation is determined to be unsubstantiated. 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.
An exit interview was conducted and a Notice of Site Visit and appeal rights were provided to the Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
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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