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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500423
Report Date: 04/15/2022
Date Signed: 04/15/2022 11:38:08 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
01/31/2022 and conducted by Evaluator Christopher Jackson
COMPLAINT CONTROL NUMBER: 53-CC-20220131083607
FACILITY NAME:TINY TOTS ACADEMYFACILITY NUMBER:
394500423
ADMINISTRATOR:CANDI LYNN KETTGENFACILITY TYPE:
840
ADDRESS:250 NORTHGATE DRIVETELEPHONE:
(209) 294-9803
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:15CENSUS: 6DATE:
04/15/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Candi KettgenTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
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8
9
Staff not communicating with authorized representatives.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Christopher Jackson met with the Licensee Candi Kettgen to provide the finding for the allegation “Staff not communicating with authorized representatives.” During the investigation LPA conducted interviews with various staff and families in care.

LPA received conflicting statements regarding the notification process used by the facility. The director said, the center is now using Procare software to allow for a quicker communication with families. Based on the information obtained the above allegation could not be substantiated or dismissed. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the finding is UNSUBSTANTIATED.

No Title 22 deficiencies were cited at time of visit. An exit interview was conducted in which the report was reviewed and discussed with Licensee Candi Kettgen. Appeal rights were discussed, and a printed version was given to licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) 926-0269
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2022
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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