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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 570303946
Report Date: 09/24/2019
Date Signed: 09/26/2019 09:00:09 AM



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
09/20/2019 and conducted by Evaluator Amy Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20190920114335
FACILITY NAME:WINTERS PARENT NURSERY SCHOOLFACILITY NUMBER:
570303946
ADMINISTRATOR:KAREN BENSON-NEILFACILITY TYPE:
850
ADDRESS:208 4TH STREETTELEPHONE:
(530) 795-4659
CITY:WINTERSSTATE: CAZIP CODE:
95694
CAPACITY:24CENSUS: 21DATE:
09/24/2019
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director, Karen NeilTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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 Facility is not requiring immunization's from volunteers.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Silva met with Director Karen Neil to close a complaint investigation, regarding facility is not requiring immunization's from volunteers. Upon arrival, there were three staff, three parent volunteers and two peer tutors providing supervision to 21 children. Throughout the investigation, LPA conducted interviews with Director, file reviews and obtained a copy of the child roster and other relevant documentation. It was identified that all volunteers who work directly with the children have the required immunizations on file at the facility. The director stated that there are groups of volunteers that work directly with children and some that work in the kitchen and assist with janitorial services. The group that works with children require immunizations to be on file. The interview with the volunteer in question revealed inconsistencies and it could not be determined if this individual was interacting directly with children in the classroom. Based on the investigation and inconsistent information, the allegation was determined to be unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy SilvaTELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 53-CC-20190920114335
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: WINTERS PARENT NURSERY SCHOOL
FACILITY NUMBER: 570303946
VISIT DATE: 09/24/2019
NARRATIVE
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An unsubstantiated finding means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore this complaint is unsubstantiated. An exit interview was conducted. Appeal rights were given. A Notice of Site Visit was provided and posted during this inspection.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy SilvaTELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
09/20/2019 and conducted by Evaluator Amy Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20190920114335

FACILITY NAME:WINTERS PARENT NURSERY SCHOOLFACILITY NUMBER:
570303946
ADMINISTRATOR:KAREN BENSON-NEILFACILITY TYPE:
850
ADDRESS:208 4TH STREETTELEPHONE:
(530) 795-4659
CITY:WINTERSSTATE: CAZIP CODE:
95694
CAPACITY:24CENSUS: 21DATE:
09/24/2019
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director, Karen NeilTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee's facility number is not included in advertisements.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Silva met with Karen Neil to close a complaint investigation regarding that the Licensee's facility number is not included in advertisements. Upon arrival, there were three staff, three parent volunteers and two peer tutors providing supervision to 21 children. It was reported that the facility website and now enrolling sign did not include the facility number as required by Title 22 regulations. The director acknowledged that the facility number was not included on the website or the sign and immediately had the facility number added during today's visit. Based on the information obtained during the investigation the preponderance of evidence standard has been met, therefore the above allegation is substantiated. Type B deficiency is cited on the following page of this report.

Exit interview conducted. Appeal Rights were provided. Notice of Site Visit was provided and posted.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy SilvaTELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 53-CC-20190920114335
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: WINTERS PARENT NURSERY SCHOOL
FACILITY NUMBER: 570303946
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/25/2019
Section Cited
CCR
101162(a)(1)
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Licensees shall reveal each child care center license number in all advertisements in accordance with Health and Safety Code Section 1596.861.
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The director added the facility number to the sign and website at the time of the visit. The deficiency is cleared and a clearance letter will be provided to the facility.
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This is not met as evidenced by; LPA observed that the required facility number was not included on the facility's sign or website. This is a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy SilvaTELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 4